Booking Form

Ready to make your move and secure an amazing time alone with me? Here’s your opportunity to turn your dreams into reality. Please fill my booking form to the best of your ability and I will be in touch with you soon. I’m looking forward to our embrace.

All info is for screening purposes only, and kept strictly confidential.

Name

Legal Name

First Name

Last Name

Phone

(###)

###

####

Message

Please enter any details pertaining to our time together here, see below for example.

Preferred Verification / Screening Method

New clients are welcome however I do screen all potential visits in advance - what method do you prefer? If you are brand new this section is for me to get to know you before we meet. Screening is for safety. This is a one time process and strictly confidential.

Provider References

Please provide any recent provider's contact information here, including name, website / social media, and contact number & email. References must be recent (within the last 6mo or so).

Board Members

Please provide your username/handle.

Employment Verification

Provide your employment verification via Linkedin.

How Did You Hear About Me?

Please let me know where you found me! This information let's me know what is working well, thanks!

Preferred Communication

How would you like me to contact you after I have received your booking request? Please choose one of the following options:

Text Me

Email Me

Location

What’s your preference? If you’re not sure, please mention that in the message section above.

Incall

Outcall

I Understand the Following:

By submitting a booking request you are agreeing that: All money exchanged is for legal adult personal services, modeling and/or for time and companionship. Anything else that may or may not occur is a matter of personal choice and personal preference between two or more consenting adults of legal age and is not contracted for, nor is it requested to be contracted for in any manner. Fees charged are for time spent only. I do reserve the right to decline appointments as I deem necessary. By contacting me (either through phone or email) you agree to these terms and hereby agree that you are not part of any law enforcement agency using this advertisement for entrapment or for arrest. This is a contract you agree to my contacting me. I have legal representation and know my rights fully.

Yes, I fully understand & agree to these terms