Dom Session Application Form

First name

Last name

Birthday

Month

Day

Year

Phone

(I will not contact you without scheduling a call first)

Incall or Outcall(FMTY)

Incall

Outcall (Fly Me To You)

Select One

Location

Desired Session Length

Minimum 2 hours

Date & Times

Tell me the best day(s) and time you would like to connect.

Health Concerns or Notes

Be descriptive and honest—confidentiality respected

Hard Limits & Boundaries

"No limits” is not an answer. Include physical, psychological, emotional boundaries

Where Did You Find Me?

Ex: Instagram, X, Referral, etc.

BDSM Orientation & Experience

Describe experience, kinks, interests

Respectful Introduction

What draws you to me? What do you wish to explore? How do you want to feel?

I am 18+

I understand tributes and rates are non-negotiable

I understand this engagement will not include any illegal activities, and I will not request such

I have familiarized myself with the booking, cancellation, and deposit policies

I understand screening and an initial tribute are mandatory to book a session