Permission to Surrender 
You could think of nothing better than telling me all the little things that cumulate into the fantasy you've always dreamed of or.... if you prefer, your darkest nightmares.  IF you think you will bring value to Goddess's life as I know what I bring as a dominant is completely dependent on your honesty, and ability to follow directions.

You are applying to submit because submitting to a powerful Black Goddess is a privilege. Whether or not you are worth the time, energy, skill and healing  that I bring to each session, will be decided by me.




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Name *
First and last name
UserName and platform *
Tell me where you found me (Twitter, IG, Fetlife etc.)
Email *
Phone number *
Notice of Intent
This application is related to Adult Content within the BDSM umbrella. If you are under the age of 18 years of age or if it is illegal to view adult material in your jurisdiction, please EXIT MY APPLICATION NOW. 

By continuing this application beyond this point, you agree that you are indeed acting legally in your jurisdiction and of your own volition. You understand and accept responsibility for entering this application, its host, its staff, affiliates and advertisers from all legal liability. 

No sexual activities are implied or condoned by the creator of this application. Monetary and finances exchanged are for companionship and anything else beyond that is a choice made between two (2) consenting adults and is not offered nor contracted by the application or creator. 

Under NO circumstance  does this application, the owner, the site affiliated, the application builder, the creator, the host or staff consent to or have knowledge of any illegal activity committed by anyone associated with this application/website. 
Do you understand and agree? *
Interested in booking in this area *
Required
Experience as a Submissive?  *
*In Years
Why do you want to submit to Goddess Dallas?  *
 *Are there things you're wanting to work out or explore through kink? Be Specific.
What exactly are you interested in doing? *

Kinks, Fetishes, Fantasies etc.--Be Specific
Kinks you are interested in exploring WITH ME (choose 2-3 for the purpose of your consultation and note any additional favorites in the previous question space. *
Required
How do you aftercare? *
Required
Soft Limits *
Things you don't love, but could stand
HARD Limits *

Things that are an absolute NO. It's okay if you aren't sure yet.
How are you looking to serve? *
Required
When are you looking to serve? *
Required
When are you looking to serve? *
MM
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DD
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YYYY
Time
:
List any medical conditions, body pains, allergies or other important things I should know about your body and/or state of mind. 
 *
This includes STIs, triggers/trauma, chronic illness
Are you looking to be vetted for long term ownership?
 *
Required
What is required from you after submitting this form
A $50 Initial Offering ($100 if you're a white man) must be sent to one of my payment methods listed below within 48 hrs of application submission. Also I will need a photo of you holding a piece of paper with the date of your application. Photo must match social media handle(s) provided. If you have no social, you must upload a photo ID covering the address. Applications without tribute will be deleted, and you will be blocked for wasting my time.

Black women, queer folks, disabled folks, trans and non-binary folks, you are welcome to inquire about fee waivers and bartering agreements in leiu of a monetary tithe. 

There's no discount for white people. The very nature of whiteness is one big discount. If you even ask, I will block and report you.

Do you UNDERSTAND? *
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