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HUNTING FOR TREASURE?
HERE'S THE WAY...

** ALL questions must be filled in for the application to be sent. If you do not know an answer or can not answer a question you must at least type NA in the answer box. **
 

This form is ONLY to be used when I am traveling to your city
or country, check my schedule BEFORE you send me a request!

 

SESSION REQUEST FORM
YOUR NAME:
YOUR EMAIL ADDRESS:
VISITING CITY:
REQUESTED DATE:
FIRST CHOICE - REQUESTED TIME:
(you must be SPECIFIC when stating the time
you wish to meet! 11:00 AM, 7:00 PM, etc.)
SECOND CHOICE - REQUESTED TIME:
(you must be SPECIFIC when stating the time
you wish to meet! 11:00 AM, 7:00 PM, etc.)		  
LENGTH OF SESSION IN HOURS:
CONTACT PHONE NUMBER OR EMAIL:
(if you can NOT list a contact phone number
you MUST enter an email address in the box)
YOUR HEIGHT (in feet/inches NOT meters):
YOUR WEIGHT (in pounds lbs. NOT kg):
YOUR GENDER:
(do you identify as Male or Female?)
YOUR CURRENT AGE:
(you must be of legal age)
DO YOU HAVE ANY MEDICAL PROBLEMS:
(high blood pressure, neck or back injury, etc.)
DIRECTIONS TO LOCATION:
(if outcall - Local Only!)
 
General Questionnaire
1. Scene Experience:
2. Session Interest:
    Personal Interest:
3. Are bruises or body marks acceptable?
 

Your Preferred Activities of Interest

Domination and Play sessions are tailored to meet the needs of each individual who wishes to explore BDSM - be it with a gentle touch, a subtle tease, or a firm hand.

Directions – In the box below briefly describe the type of session you seek by describing your interests, limits, scene scenario etc... You must be clear, concise and descriptive when noting your own personal interests. The text will continue to wrap even though you may not see it in the box. After you have submitted your session request form do read the area titled PROTOCOL to answer any further questions you may have.

 
   
OTHER INTERESTS OR COMMENTS:
   

** ALL questions must be filled in for the application to be sent. If you do not know an answer or can not answer a question you must at least type NA in the answer box. **
   


IF YOU STILL HAVE QUESTIONS OR NEED TO DISCUSS YOUR DESIRED
SESSION FURTHER WITH ME VISIT MY CONTACT PAGE - CLICK HERE

 

 
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