Reservation form

Fill out this form to begin your life as My humble and dedicated slave. Discretion is without question.

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Name *
Name
Birthday *
Birthday
Phone Number *
Phone Number
Preferred Play Dates(s) *
Date of Session *
Date of Session
Time of Session *
Time of Session
Reference 1's Name *
Reference 1's Name
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AGREEMENT *
By checking this box, you are: (1) Confirming that you are over the age of 21. (2) Understanding that I will not engage in unlawful activity and reserve the right to decline play that breaches my hard limits or compromises my safety. (3) Agreeing to abide by my payment and cancellation policies.