Booking Form
This questionnaire is for adults aged 21+. Any reference to babies, littles, discipline, spanking, or diapers is expressly within the context of role play between consenting adults. I do not, in any way, condone the involvement of minors in any related activity. I do NOT offer sexual services of any kind.

I will follow up within five days to discuss your interest and to go over next steps.

Filling out this form does not guarantee a session. I reserve the right to refuse service for any reason.
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Email *
Full Name  (First and Last) *
Type of Session *
What Length of Session Were You Interested In? *
Email Address *
Date of Birth *
MM
/
DD
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City *
State *
Phone Number *
Preferred Pronouns *
What Kind of Session Are You Interested In? *
Required
When Did You Want To Have the Session? (Date and Time Frame) *
Kink Social Media Handles (Twitter, Tumblr, FetLife, etc.) *
Have Your Had Prior Sessions with a Professional Mommy/Domme *
If You Have, List The Providers and The Dates.
Why Do You Want to Book a Session? *
What Role Do You Identify As? *
Required
What Would You Like Me to Be? *
Required
What Are Your Hard Limits? *
Do You Agree to Use Safe Words and Understand How They Work. (Red, Yellow, Green)? *
How Did You Find Out About Me? *
Are You Interested in Double Session with An Additional Top? *
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