THE GODDESS GEMINI Request Form
I'll review your form and reply to the email address you've provided from my Gmail or ProtonMail address.

I take My sessions in a dungeon spaces in Manhattan and Prospect Lefferts Garden, Brooklyn. 

Deposit via CashApp is required to book. In case of cancellation, your deposit will be kept as a cancellation fee. Reschedules must be requested 48 hours in advance, otherwise you will need to send another deposit.

This request form is for sessions. Service positions are earned, not applied for.

You can find more information on my website WorshipGem.com

CHECK YOUR SPAM EMAIL if you don't receive a message from Me, it may have ended up in your spam.

Sign in to Google to save your progress. Learn more
Email *
Today's Date *
MM
/
DD
/
YYYY
Name (if you're going to make something up, make it unique so I can remember you). *
Email address where you can be contacted *
What is your age and occupation (job)? *
Phone number (I won't use it unless you indicate it's okay but you must provide a phone number) *
Can I text you at the number provided? *
Where do you want to meet? *
Required
 My best days are Wednesday Friday and Sunday, but I have flexibility. With that in mind, what date and time are you hoping to meet? Please book in advance. *
What length of a session are you seeking? *
New subs will submit from between 1-3 hours in their first session. Longer sessions are available only to returning submissives.
Tell Mistress your kink interests: *
Remember I do not offer FS, FTT, or switch services.
Required
How interested in/tolerant are you to playing with PAIN? *
No interest/tolerance
Most interest/tolerance
How interested in/tolerant are you to playing with HUMILIATION/DEGRADATION? *
No interest/tolerance
Most interest/tolerance
Have you ever had a session before? *
I require proof of a negative covid test day of, can you provide this? *
If yes, tell Me your experience. If not, are you completely new to kink? *
Are you interested in learning more a double or triple domme session? *
How did you find Me? *
Do you have CashApp or are you willing to download it? (Online payment processor) If no, we will not be able to move forward. *
Tell Me anything else you want Me to know, including any medical conditions or latex allergies. No need to send me a long diatribe, we will have plenty of time to discuss more directly later. *
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy