Interested in a Session (Vetting Form 0.1) 
If your interested in booking a session with GroundedRopez please fill out all information to the best of your ability.
Sign in to Google to save your progress. Learn more
Name & Pronouns *
Age ( 18+ Only) ID is mandatory to be shown in vetting process *
What is your ethnic background? *
How did you hear about Groundedropez? *
Why do you want to participate with Groundedropez? *
Experience with in BDSM/Kink ? (Please be detailed in your answer) *
Do you identify as a submissive, bottom, switch, dom, bottom, top ? You may also add another option if you feel you do not prescribe to any of these. *
If you answered yes to having experience with BDSM/Kink, how many years have you been participating with the community? *
Do have a record of consent violations? If so please explain why in detail. If you have none please put N/A. *
Experience with Healing/Spiritual or Holistic Practices? (Please be detailed in your answer) *
If you answered yes to have experience with healing/spiritual or holistic practices, how many years have you been practicing? *
Have you ever experience BDSM/Kink from a Spiritual /Holistic healing approach? *
Are currently in therapy? If so how long have you been in therapy? *
Are you interested in a GroundedRopez rope bondage session?  *
Required
Are you interest in a GroundedbySUR Pro Dom Experience?  *
Required
If you clicked YES to a GroundedbySUR Pro Dom Experience, check all that you are interested in doing. 

(NOTE: All listed is what GroundedbySUR offers and hold interests)
NOTE: All activities with GroundedRopez come with risk, especially when it comes to Rope Bondage. Please take the time to watch this series of General Rope Safety by Shibari Study & Reducing Risk by RopeStudy when you have the time to do so.

Link on Reducing Risk: 

(GroundedRopez is Adult and Pediatric First Aid/CPR/AED Certified)

Please confirm that you have looked through theses links and/or familiar with risk below
*
Email *
Instagram Handle *
Phone Number (Optional)
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google.