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Frist Name*

Last Name*

Your email*

What are your favorite kinks?*

Any kinks you are curious to try out?*

What are you soft limits and hard limits?*

How would you like to feel during sessions?*

What would you like to be addressed?*

Any medical history that I should be aware of?*

Reference - I require the name and contact of at least 1 professional dominatrix that you have worked with, OR link to your personal social media, linkedIn profile, and contacts of the company you work for*

When do you like to session? Check my calendar linked to avoid scheduling conflict.

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