Screening

* Required Field

About You

Name: *
Age: *
City: *
Ethnicity:
Occupation: *
Company: *
Education Level:
Relationship Status:
Photo:

Contact Information

Email: *
Phone: *
Accept SMS/Text:
Best Times to call: *

Appointment Details

Preferred Dates/Times: *
Preferred Location: *
Preferred Length: *
Outcall Location:
Traveler to this Area:
Wardrobe Request(s):
Special Request(s):
Any Likes or Dislikes:

References

Names and contact info of providers you've seen before, and any forum usernames or handles:
How did you hear about me: *

For my safety. Screening is a requirement, without screening I cannot not see you. Rest assured that any information provided is confidential

Email: [email protected]

Text or call: 424-371-7799

Proof of ID

Proof of Employment References from other providers you have seen in the last six months. They must be willing to vouch for your good and appropriate behavior.  I need you to provide me with the name they know you as, their telephone number, email and links to their websites and or ads.

My rates are non negotiable.

Deposit required before meeting.

I require a two hour notice for bookings.