Session Application

ABOUT YOU

First Name

Last Name

Email

Phone

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Level of Experience

Have you served other Professional Dominatrixes?

Yes No

How would you describe yourself?

Submissive Fetishists Masochist Slave Servant Unsure/Wanting to explore

APPOINTMENT INFORMATION

Acknowledgement

I acknowledge that I understand NO SEXUAL ACTIVITIES are being offered

PREFERRED DATES AND TIMES

1st Preference

2nd Preference

3rd Preference

SESSION INFORMATION

Session Demeanor

Strict Sadistic Humiliating Merciless Sensual Teasing Playful

Session Type

Sissy / Transformation Mistress / Slave Foot Fetish Teacher / Student Nanny Naughty School Girl Medical (Nurse) Military Drill Instructor Interrogation Financial Domination Discipline Slut Training Public Outings Bi-Curious Roleplay Other

Specify below

Desired Mistress Attire

Leather Boots High Heels Lingerie Business Latex PVC Uniform (Military/Police/Nurse) Disciplinarian No Preference

Activities

Ball Busting Cock & Ball Torture Boot Worship Trampling Judicial Punishment Bondage (light) Bondage (heavy) Branding Breath Control Caging Chastity play Caning Catherization Enemas Exhibitionism Collaring Crossdressing Electrical Play Domestic Service Eye contact Restrictions Face Sitting Slapping Fantasy Abandonment Foot worship Forced eating Spanking/Paddling Over the knee Hair Pulling Human puppy dog Hot wax Humiliation Ice Cubes Immobilization Infantilism Needle play Rope Bondage Interrogation Kneeling Knife play Leather restraints/bondage Metal bondage Mummification Nipple Torture Whipping Tease and Denial Piercings Restrictive behavior Sensory deprivation Serving as spittoon Serving as furniture Serving as a maid Shaving Body sacks Speech restrictions Straight jackets Tickling Sounds Violet Wand Voyeurism Water torture Waxing (hair removal)

Equipment / Devices

Ball Gags Inflatable Gags Bit Gags Leather Hoods Latex Hoods Canes Body Bag Wooden Paddles Straps / Tawse Nipple Clamps Weights Collars Leashes Handcuffs Single Tails / Bullwhips Floggers Hairbrushes Crops Icy Hot Chasity Devices Ball Crushers Ball Stretchers TENS Unit Blindfolds Restrictive Collars Belts Humbler Equestrian Gear

Do you have any session interests not listed above?

Yes No

If yes, please enter your other activity interests below

Pain Level

Marking Limitations

Any Medical Conditions?

Session Desires

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