New York City/ New Jersey Dominatrix

917-524-7345 | 1-800-TO-FLIRT Ext. 1095-4153

917-524-7345 | 1-800-TO-FLIRT Ext. 1095-4153

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Session Application

I understand that NO SEXUAL ACTIVITIES are being offered. If you are interested in meeting with me, you must fill out this application.

Name*

Email*

Phone *

How do you describe yourself - submissive, fetishist, painslut, masochist, or servant?*

Do you have any medical conditions or injuries?*

Session Demeanor - strict, sensual, sadistic, humiliation, teasing, merciless, playful? *

Pain Level - light, moderate, heavy or extreme?*

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