Page 1 of 1
Application form
Name
*
Email
*
Phone number
*
Where did you find me?
*
Where did you find me?
A
Professional Mistresses
B
Twitter
C
Instagram
D
Fetlife
E
Google
F
Directory
G
Event
H
Other
Where do you wish to meet me?
*
Where do you wish to meet me?
A
Paris
B
London
C
Other (specify below)
Specify:
*
How would you like to serve me?
*
How would you like to serve me?
Specify your choice(s)
*
When are you available?
When are you available?
Who are you?
*
What drew you to Me?
*
How would you describe your experience in BDSM and kink?
*
Kinks, fetishisms, areas of interest or curiosity:
*
Limits:
*
Medical informations (medication, injuries, health issues, allergies, neurodiversity...):
*
Anything to add?
*
By sending this end-to-end encrypted form, you confirm that :
*
By sending this end-to-end encrypted form, you confirm that :
You are over 18
You acknowledge a deposit is needed to finalise a booking
You have read the booking conditions* and agree with them
You allow me to contact you via email
Submit