Name *

First Name

Last Name

Phone (for interview only) *

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*

I am aware that a $30 screening fee is required to secure a mandatory phone interview. This will go towards the deposit.

Select the days you are most likely available *

Mondays

Tuesdays

Wednesdays

Thursdays

Fridays

Saturdays

Sundays

All of the above - I'm flexible

Select your ideal timeframe for a session *

Daytime (11am - 5pm)

Evening (5pm - 10pm)

Nighttime (10pm or later) - this option requires an additional $50 "late night fee"

Does the idea of slave training interest you? *

Yes

No

I'm new to this and don't know what that means, but I'm curious

*

I have read the "Interests" section of your Website and will not inquire about activities listed under "Hard Limits"

*

I understand that no sexual acts or otherwise illegal activities will be performed.