Legal Name *

First Name

Last Name

type of session *

ritual domination

talisman worship

reprogramming

flesh branding

Length of Desired Session *

1 hour

90 minutes

2 hours

3 hours

4+ hours

Experience Level ⟢⟣ What is your experience in the BDSM lifestyle? *

novice

occasional

regular

experienced

What do you identify as? *

submissive

masochist

sissy

pet

fetishist

other/not sure

What is your pain tolerance? *

I don't like it

low

medium

high

How much humiliation do you enjoy? *

I don't like it

verbal

verbal/physical

Are you vaccinated for COVID-19? ⟢⟣ Proof of vaccination is required for in person sessions *

Be prepared to verify your vaccination status to finalize our booking.

yes

no

Do you have any health complications/Are you on any medications (Allergies, sensitivities, phobias, STI's, etc.) *

yes

no

Do you consent to having photos or video recordings taken during the session for my social media? *

(Faces, tattoos, and any other distinguishing features can/will be edited out. You have the option to revoke your decision after reviewing the content)

yes

no

I have read all the terms, protocols and information on the website before applying *

yes