Booking Form:
If you have thoroughly read my website then you are prepared to fill out this form. I want to know all the things that pervade your mind when it comes to all of the4 delicious and devious things, that previously may not have spoken. Please take your time, be detailed and specific. I love catering to the discerning.
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Email *
Name/Nickname *
Phone number *
Email *
what kind of interaction are you looking for? *
what is your availability? *
what is the desired length of the session? Please note I only take 2 hour sessions in Philly and 3 hour sessions when traveling

I do not take 1 hour sessions. 
 *
are you interested in a seeing me locally or while I am traveling, please list where: *
Do you have any of the following medical conditions? *
Required
Do you have any allergies? *
How would you describe yourself? *
what is your previous experience *
what are your interests, kinks, desires and fantasies: *
based on my interests and skills I have to offer,list what stands out to you, things you would like to make sure are included in your session. *
What are your hard limits? *
Please list 1-2 verifiable references from 2 other providers (if applicable, if you do not have references please email me)

Please list their website/social media and email
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Can you be left with marks?
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