Friend Request
I love meeting new clients! My experiences have taught me that honesty, open-mindedness, and safety are key to an enjoyable experience. Please fill out this form and I will contact you to discuss our time together.

❤ Mistress Daisy

Email address *
Full Name *
Phone Number *
Age *
What dates and times work best for meeting? *
What is your professional email? (This is for verification only; I will never contact you using it.)
What interests you? *
Please provide 2 references, if available.
Where would you like to meet? *
Please list any additional information you'd like to share, and I'll get back to you soon!
Disclaimer Agreement *
Required
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