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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 so that we make the most out of our time communicating and create an exciting session.
The information you provide will not be made public & is only seen by Parker
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* Indicates required question
Name
*
Your answer
Email
*
Your answer
How did you find me?
*
Your answer
What pronouns would you like me to use during session?
She/her
He/him
They/them
Other:
Clear selection
How do you identify yourself?
*
Top
Dominant
Bottom
Submissive
Slave
Switch
Fetishist
Human ATM
Other
Do you have previous experience? References are preferred. Please list reference contact information as they will be checked.
*
Your answer
Length of session (minimum 90 minutes; 24 hours notice required)
*
Your answer
When would you like your session? (multiple days/times are appreciated)
*
Your answer
What type of session are you looking for? (select any that interest you)
*
Age Play
Arm Wrestling
Balloon Play
Bastinado
Body Worship
Bondage
Boot/shoe/stocking/foot worship
Caning
CBT/CBB
Clamps/Clothespins
Collar and Leash
Corporal Punishment (light to heavy)
Co-topping
Crawling
Cupping
Electro
Financial Control/Domination (top only)
Food Play
HOM/GOM
Gags
Golden Shower (top only)
Hair Pulling
Impact (floggers, paddles, etc)
Kitten/puppy Play
Medical Play
Mummification
Raunch (top only)
Role Play
Roman Shower (top only)
Scratching/pinching
Sensory Deprivation/Overload
Strap On Worship
Spanking
Tease and Denial
Tickling
Wax
Required
List your hard limits and boundaries
*
Your answer
Are marks allowed?
*
Not at all
Marks lasting no more than a few hours
Only marks that can be covered by undergarments
Marks can last about a week
I will proudly show off any marks
N/a
Are you okay with pictures or videos being taken? Your face will be fully blurred our 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
Comments. Feel free to elaborate on anything, ask questions, or add any other information you want me to know.
*
Your answer
Have you read and agree to my cancellation policy on my website? (
www.missparkerleigh.com/tribute
)
*
Yes
No
To be considered, a copy of your ID must be emailed to
parkerxleigh@gmail.com
upon completing this form. *Note: this is for screening purposes only
*
Yes, I will email a copy of my ID
No, I do not want to email a copy of my ID
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