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Application for Nuru

*This application is for first time clients only. Regulars may contact me directly to schedule a session.*

Next touring dates: Emeryville - March 27th-29th

(regulars may contact for outcall)

*** UPDATE NEW OFFERING! ***

I am now offering regular incall sessions at a private dungeon in Emeryville in addition to my scheduled monthly "touring" sessions.

First name

Last name

Preferred name

Pronouns

He/Him

She/Her

They/Them

Other

Phone number

Occupation

Location

Current touring location

Emeryville Dungeon

Requested Session Date& Time

Duration of Session

Touring: 1 hr 300; 90 min 400; 2 hrs 600

Emeryville Dungeon: 1 hr 360; 90 min 490; 2hr 720

Any conditions I should be aware of that deal with your body and mind?

(eg. allergies, back/knee/joint pain, herpes, HIV, PTSD)

Screening Requirement [COMPLETE VIA EMAIL]

Upload a photo of yourself holding your driver's license next to your face with your first and last name visible via email at [email protected] (You may redact your address). This is standard protocol for screening and safety purposes. Your personal information will be kept confidential, and will be deleted after the screening is complete. Failure to comply with my screening will result in rejection of application.

Untitled checkboxes field

I UNDERSTAND THAT IN ORDER TO BE CONSIDERED FOR A SESSION I MUST COMPLETE THE SCREENING REQUIREMENT BY UPLOADING A PHOTO OF MY DRIVER'S LICENSE NEXT TO MY FACE WITH MY FIRST AND LAST NAME VISIBLE VIA EMAIL TO [email protected]