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Booking
request
Completing this form is the ONLY gateway to gain an audience with Me. No excuses.
First Name
Last Name
Email Address
Phone Number
DOB
Preferred booking date
Preferred booking time
9 am
10 am
11 am
12 am
1 pm
2 pm
3 pm
4 pm
5 pm
6 pm
7 pm
8 pm
Which fetish
Ball busting
Breath play
CBT
CP
Cross dressing
Electrics
Enforced chastity
Financial domination
Foot worship
Forced bi
Hot wax
Ice play
Medical
Needle play
Role-play
Objectification
Body modification
Strap On
Tie and Tease
Slave training
Booking duration
One hour
Two hours
Three hours
Four hours
Five hours
Six hours
Additional Requests
Do you have any health problems I need to be aware of?
Yes
No
Description of health problems
Details
Are you happy to pay a £50 deposit?
Yes
No
Please upload an image of yourself
Submit