Client Application Form

Take the time to answer questions completely and respectfully, take time to spell-check and proofread your message, and do not send me wank fodder or erotica.
If you wish to share your erotic stories or fantasies with me, that can be done as part of a session.

(required fields are marked with *)
Name: A scene name or nickname is acceptable.	*
E-Mail Address:	*
Telephone:	Is it ok to leave a detailed text message at this number? Yes   No Name and number only - no details
Preferred Date Range:	*
Session Venue:	*Please select an option*Smokey Cam ChatPro DommePro sub *
Session Type:	*Please select an option*IM/text ChatVoice chatVideo ChatIn person *
Time of Day:	*Please select a time frame*Morning (1000-1200)Early Afternoon (1200-1500)Late Afternoon(1500-1700)Evening (1800-2000) *
Gender Identification/Pronouns:	*
Your usual BDSM role(s): (check all that apply)	Submissive   Servant   Slave   Brat/SAM   Switch Dom/Top/Master/Mistress/etc   Unsure/Experimenting Other -   *
Your level of experience:	*Please select one*NoneBook/web/class educationOnline or telephone sessions1-10 (real life, in person) sessionsMore than 10 sessions and 2+ years5-10 years actively in the lifestyle10-20 years actively in the lifestyle20+ years actively in the lifestyle *
Type of Session Desired:	Be as specific as possible. Indicate type(s) of dynamic, desired implement/equipment types, special requests for music selections, attire, food or drink, etc. If you aren't sure, say so. I can work with you to help you figure it out. *
Additional information:	Include anything else you feel I should know or questions you have in this space.