Booking Form

Name

First Name

Last Name

Phone

(###)

###

####

I understand that screening and deposit are mandatory.

Not relevant for phone/video sessions.

Yes

Preferred dates and times

Currently booking Tuesdays-Thursdays.

Appointment length

1 hour minimum.

What are you seeking?

BDSM/kink phone session

BDSM/kink video session

Worn clothing/items

General inquiry

Intentions (if BDSM/kink session)

Please describe how you would like to feel. Are there any names you would like to be called?

Desires (if BDSM/kink session)

Please list acts and fetishes you would like to explore.

Boundaries (if BDSM/kink session)

List any soft and hard limits. Please also mention any physical conditions or emotional triggers that I should be aware of, such as a latex allergy, heart condition, terms or scenarios that would be triggering or upsetting, recent injuries or physical limitations.

How did you find out about me?

Any other questions or things you feel I should know?

Booking Form

Follow:

Alia Quinn