Intake form for in-person domming

Dominatrix on bed leaning toward camera with one leg curled under her and the other spread out showing bare thigh and high-heeled shoe.

A session with me is a privilege, not a right. All applicants must submit to a 30-minute, $50 screening session before being approved for in-person domination sessions.

You must complete the form below before scheduling your intro session.

    What you'd like me to call you

    Preferred pronouns (optional):

    What is your experience level with BDSM/kink? (required)

    Which 3 kinks are you most interested in? (required)

    Choose up to 3. We'll explore these further in our 30-minute intro call.

    I'm open to hearing about anything not on my hard limits list (opens in new tab). But remember that this is a request, not a guarantee.

    We'll explore this further in our 30-minute intro call.

    If so, list them here:

    Health and safety: (required)

    If the answer is "Yes," check the box. None of this disqualifies you from serving me, it just tells me how to serve you safely. Withholding relevant information puts you at risk, not me, and it will end the session.

    Would you prefer to have your camera on or off during our online introduction session? (required)

    You are also welcome to be masked if your camera is on.

    Do you want this to be a one-time session, or are you interested in a longer-term dynamic? (required)

    Consent & understanding (required):





    Age verification

    This website contains images, videos, writing, and other media intended for an adult audience. You must be at least 21 years old to enter.

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