APPLICATION FORM (Please copy, paste into new email and return to Mistress promptly for consideration) Date/Time/Duration you are requesting an audience with Mistress___________________________________ Name and last initial______________________ Location___________________________________ Age______ Physical Description_________________________________________________________________________________________________________________ Marital Status__________ Financial Status and Employment Industry________________________________ Sexual Orientation__________________________ Medical Concerns/Physical Limitations_________________________________________________________________________________________________________________ Phobias/Abuse Issues__________________________________________ Eyeglasses/Contacts?_______________ Can you be marked? If so, for how long?_______________________ How often do you wish to visit with Mistress? Weekly? Bi-Weekly? Monthly? Bi-annually?_________________________________ Which attire do you prefer to see your Mistress adorned in? (Please choose all that apply and delete the rest). Latex dresses/skirts Patent Leather PVC/Vinyl pants/dresses/skirts Business attire/suits English riding apparel/boots Corsets/waist cinchers Catsuits Hosiery (please choose all that apply and delete the rest) Cuban heel/seamed Fishnet Sheer black Nude pantyhose Black Knee-high Bare legs/none Shoes (please choose all that apply and delete the rest) Knee-high boots high heeled pumps (closed toe) Peep-toe pumps or sandals (open toe) Platform heels Riding boots Gloves (please choose all that apply and delete the rest) Latex (opera length) Leather(wrist length) Satin (opera length) Bare arms/none In regards to Mistress' demeanor during the session, I would prefer: (please choose all that apply and delete the rest) Indifferent/Detached/Cold Playful/Gentle/Fun Sadistic/Aggressive Imperious/Condescending/Critical Spoiled/Never satisfied What best describes your reason for visiting Mistress? (please choose all that apply and delete the rest) Suffering to please Mistress and amuse Her (with disregard to my desires)___________________ Exorcism of guilt_____________ Sensation/Endorphin___________ Other(please describe)_________________________ What would best describe the scenario you are seeking? (please choose all that interest you and delete the rest) Schoolteacher/naughty boy Interrogator/prisoner Female pimp/man-whore Riding Mistress/ponyboy Blackmailer/financial slave Humiliatrix/small penis man Mommy/Little boy Other (please describe)____________________________________________________________________________________________________________________________ How long have you been involved in BDSM activities?_________ Do you have any other skills outside slavery that you can offer Mistress? How will you please Mistress other than Her required tribute? __________________________________________ Do you have references from other Dommes(local,national or international)?__________________ Are you involved in any fetish/bdsm organizations? If so, which?_______________________________________________________ ACTIVITIES I AM INTERESTED IN: (please choose all that apply and delete the rest) 1.Bondage: Leather, Rope, Bondage tape, Saran wrap Method: Light, Inescapable, Extended, Mummification 2.Corporal Punishment: Flogging, Whipping, Strapping, Spanking, Caning, Birching, Hairbrush 3.Genital Torture: Whipping, Chastity, Kicking/Kneeing,Trampling, Stretching/Weights, Chastity, Light touch cigarette, Hot wax, tight bondage/tying, manual squeezing/vise, slapping 4.Ass Play: Strap-On (Small, Medium, Large), Fisting/Dilation, High heel/object insertion, Digital probing, anal hook 5.Foot Worship: Stocking/Pantyhose, Shoe/Boot/Heel, Bare Feet Method: Bootlicker, Toe Kisser, Masseuse, Footstool, Rug 6.Humiliation Method: (please describe)____________________________________ 7.Domestic Service Training (must be available with 2-8 hours notice): Chambermaid, Chauffeur, Foot slave, Dungeon Slut (forced bi) 8.Shaving (yes, no or choose): Genital area, Body_____________ 9.Smoking Fetish (Mistress smokes. Yes or No): Human Ashtray Service______________ 10.Puppy Training (yes or no): Caging, dog food eating, leash training, costuming, verbal command training 11.Pony Training (yes or no): Show pony, cart pony, riding pony 12.Financial slave/Paypig/Blackmail (yes or no)___________ Mistress loves to entertain Her guests. Are you comfortable being in a session/scene parties with other: Dominant Females Dominant males Submissive Females Submissive males Photographers/Videographers (With regards to confidentiality, masks may be used to hide your identity. Privacy is of paramount importance to Mistress) PLEASE READ! If your interest is not listed here, it is most likely because I DO NOT have interest in it and/or it is illegal. I do not engage in any sexual acts (body worship included), watersports or showers of any kind, smothering, infantilism, switching roles, piercing/cutting/burning, spitting, drugs, acts with animals or children. I require a 24 hour notice for any session with a 2 hour emailed confirmation prior to our meeting. I, on occasion may entertain a session during the day or on a weekend (it is rare) but prefer Mon-Fri 4-8pm. All play is safe, sane and consensual. Safe words are also utilized.