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Reservations with Mistress Velvet
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Email
*
Your email
Full Legal Name
*
Your answer
Age
*
Your answer
City & State of Residence
*
Your answer
Phone Number
*
Your answer
Name of Employer
*
Your answer
Job Position // Title
*
Your answer
Humble Introduction
*
Your answer
Interests // Desires // Fetishes
*
Your answer
Experience Level
*
This is a brand new experience for me
I've hired a sex worker // domme before
I've done domme // sub play before
Preferred Play Date(s)
Select All That Apply
NiteFlirt // Skype
Dungeon Session
Double Domme Play
Overnight and/or Extended Submission
Dinner Date
GFE
Home Servitude
Select All That Apply
NiteFlirt // Skype
Dungeon Session
Double Domme Play
Overnight and/or Extended Submission
Dinner Date
GFE
Home Servitude
Date of Session
*
MM
/
DD
/
YYYY
Duration of Session
*
hours
1
2
3
4
5
6
7
8
hours
Hard Limits
*
Your answer
Medical Conditions (latex allergy, claustrophobia, bad knees, etc.)
*
Your answer
Character Reference #1
*
Your answer
Character Reference #1 's email
*
Your answer
Character Reference #2
*
Your answer
Character Reference #2 's email
*
Your answer
How did you find me?
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Your answer
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