Contact Form Booking Form Name * Phone * Email * Handle(s), if you have any Approximate Age * Occupation / Job Title * City You Live In * In order to see me, you need to be vetted. You must first pass my screening. What type of screening will you be submitting? Listed in order of MY preference from top to bottom * At least one (more preferred) reference. Keep in mind that some references take a month to get back to me or never even respond, so it's better to list mutiple providers Paid meet-n-greet ($150/hr in a public location at a restaurant of my choosing. $50 deposit + $100 when we meet) Email me a copy of your ID + deposit (once you have submitted your application, I will email you to have you send me the ID) phone screen $100 flat fee + your legal name + birthday + your LinkedIn if you have it or a photo of your work badge if you have one Type of Session * Sensual Domination (done primarily on a massage table/bondage table) Traditional Domination (done on St. Andrews Cross/standing/kneeling/bondage/ can include impact play & primarily pain focused) Mix of both sensual & tradition / pain & pleasure Intro to BDSM Paid Meet-n-Greet (one option for those who have no references) Paid Social Time Findom/Finsub Cash Meet Length of session * How did you hear about me? Please list the specific website that directed you to my site * Reference #1 (Name, Email, & Website). Giving me their "handle" is NOT acceptable, nor is saying "check my profile" Reference #2 (Name, Email, & Website) Do You Have a FetLife, CollarSpace, Twitter, Linked In or Facebook profile? Any handles? Then verify your handle by "friending" me or sending me a message from your handle. List any profiles/handles below: Do you prefer to be told to do things (ie- suck my toe, crawl across the room to me, lick the bottom of my boot) to have things done to you (ie- your back flogged, your hair pulled, ass spanked) What is the core "feeling" you'd like to experience from your session? See examples listed below * Do you have any allergies to products (ie- latex, lotion, oil, etc)? * How do you identify? Chose one: * submissivehobbyistnewbie to KinksensualistI just want a body rub, stop asking me kink questions 😉fetishistsissy Message Outfit Preference (although I choose to wear whatever I want, sometimes I might be trying to decide between 3 outfits & if you list your preference, this may help me to decide) Add stockings to any outfit Faux leather look Wet Look / Shiny Look (I won't actually be "wet" this is a style of fetish clothing) Add fishnets to any outfit Lingerie (something more vanilla) Something Domme like Anything you want, Mistress You can find out way more about me than I can about you. Please confirm that you have read through my website & Twitter and feel that our interests align * No Yes, Mistress I have Please tell me about a time you did something kind for someone else? As a Dominant, I want to mold you into someone that others would be proud to know. If you haven't done anything kind yet, then I suggest you do so TODAY. If you have, then we are off to a good start. GDPR Agreement * I consent to having this website store my submitted information so they can respond to my inquiry. If you are human, leave this field blank. Submit If you prefer to email this information to me directly instead of filling out the form, my email is: Janey1 (at) protonmail.com I do NOT need help creating a website, nor do I need help with SEO optimization, or marketing. Don’t email me in regards to any of these.