Session Application Name * First Name Last Name Age * Email * Phone Number * (###) ### #### Enter any special calling instructions below Level of Experience * Have you served other Professional Dominatrixes? * Yes No If yes, please provide name & email (make sure you have Her consent prior) Desired Experience * Short Session 1h (NYC $700) Short Session 1h (St Pete $600) Extended Session 3h (NYC $2,100) Extended Session 3h (St Pete $1,800) Dinner + 2h Play (NYC $2,500) Dinner + 2h Play (St Pete $2,000) Day & Overnight | 2 nights (St Pete $12k) Date & Time (Eastern) * Alternate Date & Time * How would you describe yourself * Session Demeanor * Strict Sensual Humilating Merciless Playful Teasing Sadistic Describe your interests: * Pain Level * Marks * Hard Limits * Do you have any medication conditions or injuries? * Yes No If yes, please let explain I acknowledge that I understand NO SEXUAL ACTIVITIES are being offered: * Yes No I understand that a deposit of $250 is required to book * Yes No Thank you!
