Overview Session Requests Session Interests Location Tribute Safety

LIVE SESSION APPLICATION

If you want to have a session with me you must submit the following application. This will tell me the kinds of things you are into, where our compatibilities lie and critical information about your health and BDSM limits. I will not see anyone unless I believe we have compatible fetishes.
When submitting this form, I prefer that you give a range of times so that I can choose what is most convenient for me. Do not submit this form more than three weeks ahead of time. If you have specific questions or need information for a pending Florida trip contact me directly. Use this form only for requesting an appointment for a live session with me.

CONTACT INFORMATION

Name:

*Nicknames are acceptable.

E-Mail Address:

*I will contact you initially by email make sure it is correct.

General Background

How old are you?

When did you first realize your submissive nature?

What is your gender?

Male Female Transexual

What is your Sexual Orientation?

Straight Gay Bisexual

Do you live in South Florida?

Yes No

If you do not live in South Florida tell me when you will be visiting Florida and where you are coming from.

SCHEDULING

Apointment Time:

*Always use Eastern Standard Time(EST).

*Provide full dates and times including am/pm.

Session Length:

EXPERIENCE

Have you visited a Professional Dominatrix before?

Yes No

List here any comments or observations you have about your past BDSM experiences.

Activities

The following are some of the most common activities that I enjoy. This list is relatively brief so I have also provided you a write in session beneath it.
Rate these from 1 to 10 with 10 meaning you enjoy this activity the most. Use a value of 1 to indicate that you are uncomfortable with an activity.
I do give precedence to higher rated activities, it makes the session more fun for both of us. However, rating something high does not guarantee that I will do this in your session.

Spanking

Humiliation

Whipping

Foot Worship

Paddling

Crawling

Caning

Being Led on a Leash

Ice Torture

Verbal Abuse

Hot Candle Wax

Spitting into your Mouth

CBT

Golden Showers

Nipple Torture

Cross Dressing

Trampling

Human Ash Tray

Face Slapping

Kickboxing

Hair Pulling

Submission Wrestling Holds

Being Bound to a Cross

Hypnosis

Being Bound to a Table

Kidnapping Roleplay

Being Locked in a Cage

Sensory Deprivation

Chain or Rope Bondage

Ritualism

What other kinky things interest you?
Use this space to note additional activities, fetishes you have, roleplay descriptions and anything else that drives you deep into submission.

LIMITATIONS

Rate your Pain Threshold from 1 to 10 with 10 meaning it is extremely high.

List here any personal or discretionary limitations you have. If you cannot be marked at all be sure to let me know.

MEDICAL

If you have any medical problems that I should know about list them here. Include anything that may limit your performance such as bad knees.

OTHER

Tell me anything else here: examples would be things that really enhance or diminish a scene, questions or concerns, location requests etc.

*You will be sent an automated confirmation email shortly. If you do not receive this, check your junk mail and if the message is not there alert me.

Serve Me Now Slave

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18 U.S.C. §2257 Record-Keeping Requirements Compliance Statement