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Session Contact Form
Thank you for your interest and taking the time to fill out this form. It's the best for both of us to ensure that we maximize our time communicating to create a satisfying and memorable experience together. Please be sure to check your spam folder for a response as sometimes my messages get filtered there.
The information you provide will not be made public & is only seen by Miss Mackenzee.
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Name
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Your answer
Email
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Your answer
How do you identify yourself?
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Slave
Submissive
Masochist
Fetishist
Slut
Human ATM
Adult Baby
Student
Other:
Do you have previous experience? If yes, briefly explain. References are highly recommended.
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Your answer
How did you find Me?
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Twitter
Fetlife
Erosguide
Pandemos
Tickle Media Forum
Backpage
Max Fisch
Recommendation/Friend
Dickie Virgin
Google
Clips4Sale
NiteFlirt
Other:
Required
Length of session (minimum 1 hour; 24 hours notice required)
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Your answer
When would you like your session? (due to a busy schedule, multiple days/times are appreciated)
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Your answer
Where would you like your session?
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Dungeon in Philadelphia
Outcall in Philadelphia
Private Dungeon in Washington, DC area
Outcall in Washingon, DC
Other:
What type of session are you looking for? (Can select multiple types)
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Abandonment
Age play/adult diaper
Arm Wrestling
Baby Bird
Balloon Play
Bastinado
Beatdowns
Blackmail
Body Worship
Bondage
Boot Worship
Breath Play
Caging/Confinement
Caning
CBT/CBB
Chastity Training/Keyholding
Clamps/Clothespins
Cigar Play/ Human Ashtray
Collar and Leash
Corporal Punishment (Light to heavy)
Crushing
Cupping
Domestic Role Play
Electro
Face Slapping
Financial Control/Domination
Fire Play
Flogging
Foot Domination
Foot Worship
FT (Toilet Training)
Furries
Gags
Giantess
Golden Shower
Hand Fetish/Worship/Domination
HOM/GOM
Hoods
Humiliation/Degradation (Verbal, physical, etc)
Hypnosis (light to full complete control)
Interrogation
Latex/Rubber/PVC
Leather
Lingerie/Panty Fetish
Long Leg Worship
Maid Training
Medical Play/Exams
Mummification
Needles/Play Piercings/Staples
Police Officer Role Play
Private/ Educational Sessions
Puppy/Pony/Kitten Training
Religious Role Play
Rhythmic Impact
Ruby Shower
Scent/Aroma Fetish
Scratching/Pinching
Sensory Deprivation/Overload
Shaving
Shoe/Stiletto Worship
Shopping Trips
Sissification
Size Fetishes
Slave Training
Sounding
Spanking/Paddling
Spitting
Sploshing
Stocking/Pantyhose/Thigh Highs/Garters Fetish
Student/Teacher Role Play
Strap On Worship/Training
Tickling
Trampling
Wax Play
Whips
Vampirism
Vore
Other:
Required
What type of mood are you looking to achieve in session? (Can select multiple options)
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Abused
Caring
Degraded
Denied
Disciplined
Enslaved
Exhausted
Feminized
Helpless
Humiliated
Immobilized
Neglected
Objectified
Overwhelmed
Punished
Surprised
Teased
Tormented
Trained
Used
Violated
I'm not sure
Other:
Required
List your hard limits and boundaries.
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Your answer
Are marks allowed?
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Not at all
Marks lasting no longer than a few hours
Only marks that can be covered by undergarments or bathing suit
Marks can last about a week
I will show off any marks you put on me, Mistress
N/A
Are you okay with pictures or videos being taken? Your face will be fully blurred or covered with a hood/mask if you wish. I will respect and honor any response you give.
No, not at all.
Yes, but only of my body
Yes, but please blur/cover my face.
Yes, put all of me on display, Mistress.
Health Concerns (Please list any medical concerns here including heart issues, asthma, seizure disorders, joint/mobility issues, surgeries, or STIs. Safety during session is my highest concern. Please note that this information will not be shared with anyone)
Your answer
Comments. If you selected "other" for any section, please elaborate. Please feel free to ask questions or add any other information you want me to know.
Your answer
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