Session Request Form
Email address *
What is your name? *
Your answer
What is your Email Address? *
Your answer
What Phone number or Kik Code may I use to contact you? *
Your answer
In what city would you like your session? *
List all health conditions. *
Your answer
List all medications consumed.
Your answer
How much experience do you have with fetish play?
Where do you rate on the masochism scale? *
I can't handle removing band aids
I can take a lickin' and keep on tickin' - bring it, Mistress
Explain what that means to you: *
Your answer
Confirm that you understand Mistress Mandy will not engage in any of the following acts and that requests for her to do so may result in your immediate dismissal without a refund: Beastiality, Blood Play, Play involving children, Race Play, Scat *
List your hard limits here:
Your answer
Session length desired: *
Submit
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service