Travel Dates: TBD...

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IMPORTANT: DO NOT request to meet me if you are seeking sessions involving illegal activities, Escort/massage services and G/F scenarios. I DO NOT OFFER PROSTITUTION OF ANY KIND, UNDER ANY CIRCUMSTANCE!!

Complete this form to request a session with Me.

Name *
Age *
Ethnicity
Occupation *
Company *
Education Level *
Email address
Phone Number (required-calls will be handled discreetly) *
Accept SM/TXT *
Photo *
Do not upload explicit photos

MEETING DETAILS

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Preferred Dates/Times: *
Preferred Length: *
Preferred Location (city): *
Wardrobe Request(s): *
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About you

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Please describe your level of experience *
Please provide the names, locations and contact information of at least two Dommes that you have seen *
P411 ID:
Date-Check ID:
RS2K:
What did you do in your previous sessions? (activity-wise) *
Please state your medical history (medications, injuries, illnesses, etc): *
Please list all activities that you are interested in (if you are a novice, please visit My activity page and list the activities you enjoy) *
Please state your medical history (medications, injuries, illnesses, etc): *
 Sensual 
 Strict 
 Playful 
 Humiliation 
 Corporal 
 Slut training 
How would you classify yourself? *
 Masochist 
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 Toilet Mouth 
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 Crossdresser 
Please list any activities that you consider to be your "hard limits" *
Any other information I should be aware of?
How did you hear about me: *
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IMPORTANT: DO NOT request to meet me if you are seeking sessions involving illegal activities, Escort/massage services, BJ, oral sex and GFE scenarios. I DO NOT OFFER PROSTITUTION OF ANY KIND, UNDER ANY CIRCUMSTANCE!!

ATENCAO: NAO ofereco nenhum tipo de atividade ilegal, tais como escort/massage, punheta, sexo oral, e amizade colorida. Eu nao ofereco nenhum tipo de prostituicao de nenhum tipo em nenhuma circunstancia.