Screen & Book Me

* Required Field

About You

Name You Go By: *
Age: *
City: *
Occupation: *
Relationship Status: *
Photo: *
Work Photo Of You On The Job, Or Your Work ID Card Please. *

Contact Information

Phone: *
Accept SMS/Text: *
Best Times To Text Or Email You: *

Appointment Details

Preferred Dates/Times you want an appointment for. Please Be Exact. Keep in mind I am available from 12pm-10pm daily. *
Incall or Outcall Request: *
Outcall location if you're requesting an outcall:
What would you like to do from my menu: *
Are you a traveler or resident of this area: *
Wardrobe Request(s) or Color Choice:
Special Request(s). Specific things you'd like for me to do to you:
Any Likes or Dislikes:
Should I wear perfume or no scent: *


How did you hear about me? Please list all of the websites you found me on. If you have a username on any verifiable sites please list that too. Thank you. *
Do you have social media? If so what is your username and which app? Twitter, Instagram, Snapchat, LinkedIN, Switter. This is just to verify you're real and safe. *

Health Check

Have you traveled out of the country in the past 2 months? *
Have you ever tested positive for COVID-19? *
Have you ever tested positive for HIV/AIDS? *
Do you currently have any STD/STI's? *
Do you have a fever, coughs, runny nose, sneezing, shortness of breathe? *
Do you practice social distancing as of March 2020? *
Can you wear a glove and mask upon meeting me? *

Here you will be able to book me. You can see my schedule, and see what time works best for us both. Feel free to fill out the screening form, and I will get back to you at my earliest convenience with a text or email. If you don't feel comfortable sending in the screening info, text me and we can screen there. Some form of screening will be required; and mandatory for all new friends! Screening is solely for my safety, freedom, and to gain my trust. All of the information you send in to me, will ONLY be viewed by me, and will be deleted in 24 hours after submission.

Discretion is most importantly key!

Thank you so much for your cooperation and have a beautiful day!