CandleTit LLC Custom Molding Session Intake Form

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Thank you for your interest in having a custom molding session! Please fill out the form below, and we will contact you shortly to provide more information on the session, what to expect, consent form and pricing options.

Email *

First & Last Name *

Pronouns *

Email *

Phone Number *

Do you live in Chicago or intend to visit for your custom session? If you don't live in Chicago, please provide your location so you can be added you to a waitlist for your area. *

Yes

Other:

Which molding session would you like to do? *Additional CandleTits can be purchased at wholesale cost. *

1. Half Chest/Single Breast: Includes a 2 hour custom molding session & 2 CandleTits* (mold not included)

2. Half Chest/Single Breast: Includes a 2 hour custom molding session & 2 CandleTits*

3. Full Chest/Double Breast: Includes a 2 hour custom molding session & 4 CandleTits*

Required

Are you getting a custom molding session because you have an upcoming surgery? *

Yes

Other:

If you have an upcoming surgery for your chest/breast(s), what date would you need to have your custom session completed by?

YYYY

What language do you prefer to describe the area we will be molding — chest, breast(s), boob(s), etc. *

I like to get to know my models, but don't want to ask about anything that's sensitive or overstep any boundaries you may have. Are there any topics you do not want to talk about during your session (surgery, family, work, etc.)? *

Share a Fun Fact! What's something you're passionate about or have a unique skillset in?

Is there anything else you'd like me to know before our session? *

A copy of your responses will be emailed to the address you provided.

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