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Owned by The Lacia Lucis Application

Name:

Age:

Country or Time Zone:

Email Address:

Your ID for Age Verification (you may cover any details you deem highly personal):

- All of your information is 100% guaranteed safe

Size limit: 10 MB

Your Proof of Payment ($100 tribute):

Size limit: 10 MB

Explain why you want you want to serve Me and what makes you worthy to be called Mine:

What are you aiming to experience or achieve through serving Me:

Are you an experienced submissive:

Yes, I'm seasoned, Goddess.

No, Goddess. I'm new

Only some experience, Goddess.

List down your kinks and fetishes (specify the primary ones):

What is your approximate monthly disposable income:

List down your limits and boundaries:

What are your major likes and dislikes:

Which of the following do you seek with our dynamic:

kink-based play only

an emotional connection

to be controlled and loosen up

~ Note: Instructions will be sent to your email once your application is approved so you can start communicating with Goddess.

Agreement

By submitting this application form, you confirm that: you are of legal age, have sent the $100 application tribute, and approached with your full consent.