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Name
Pronouns
Email
Previous Providers
Have you seen other providers? If so, list them here.
Experience Level
How experienced are you?
This is my first session
I've done a few sessions
I'm very experienced
I'm an expert
Session Details
List the things you want the session to include. Think about what you want to experience and how you want to feel during our session.
Nature of Play
What types of play would you like to engage in during our session? Check all that apply.
Impact & Pain Play
Humiliation / Degradation
Small Penis Humiliation
Spitting
Pet Play
Tickling
Foot Worship
Trampling
Bondage
Human Furniture
Nipple Torture
Pegging (with strap-on)
Face Sitting / Smothering
Sensory Deprivation
Breathplay
Cum Eating Instructions
Chastity
Edging
Tease & Denial
Ruined Orgasm / Release
Mummification / Packofilia
Cock & Ball Torture
Pegging (with bio dick)
Golden Shower
Prostate Milking
Fisting
Medical Limitations
If you have any medical conditions I need to know about put them here. (Example: heart condition, mobility aids)
Session Length
How many hours would you like our session to be?
Session Date
Selected dates/times are dependent on my availability.
By checking this you acknowledge and confirm that you are over the age of 18
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