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QUEER CHICAGO DOMINATRIX & DISCIPLINARIAN
ABOUT
APPLICATION
FAQ
GALLERY
GIFT
INTERESTS
LINKS
SERVE
BRING ME TO YOU
DISTANCE TRAINING
APPLICATION FOR SERVICE
PLEASE MAKE SURE YOU HAVE READ MY
INTERESTS
&
SESSION
INFORMATION PAGES BEFORE APPLYING.
DISCRETION & PRIVACY ARE IMPORTANT TO ME.
ALL APPLICATIONS ARE DELETED AFTER READ.
FIRST NAME
GENDER & PRONOUNS
EMAIL
SESSION TYPE
*
INCALL
OUTCALL
CASH MEET
PUBLIC OUTING
VIDEO CHAT
LAST NAME
D.O.B.
CONFIRM EMAIL
SESSION LENGTH
*
TWO HOURS
TWO 1/2 HOURS
THREE HOURS
THREE 1/2 HOURS
4 + HOURS
AVAILABILITY (DATES & TIMES)
DESCRIBE YOUR PREVIOUS BDSM EXPERIENCE
WHAT ARE YOUR KINKS?
WHAT ARE YOUR HARD LIMITS?
LIST ALL MEDICAL ISSUES/ALLERIGIES/INJURIES
HOW WOULD YOU DESCRIBE YOUR DEMEANOR IN SUBSPACE
HOW DO YOU WANT TO FEEL AFTER OUR SESSION?
HOW DID YOU HEAR ABOUT ME?
DO YOU HAVE ANY QUESTIONS FOR ME?
I WILL BE PREPARED TO SCREEN & SEND DEPOSIT TO SECURE MY APPOINTMENT WITH MISS LEVI LAKE.
SUBMIT.
SUBMISSION SENT.
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