Application for Session — Domina Jade X

Application

Are you ready to introduce yourself? Have you read My rules and policies?

When you’re ready, you will fill out your application form completely. I assure you of your privacy. I will not entertain anything I deem incomplete or lacking respect for My valuable time.

Name

First Name

Last Name

Location

Gender/Age/Medical Conditions

Select

What type of experience are you seeking?

What is your level of experience? What do you desire to explore?

What are your limits? What are your goals?

How do you want to feel while you are in my service?

References of two Dominas or other providers. Name, Email and Wesbite. Without references I will require a copy of your photo ID. This is for my safety only.

Desired time and dates. Include several, I am busy.