Name *

First Name

Last Name

Phone *

(###)

###

####

Alternative Verification *

Since I'm unable to send my work email, established LinkedIn, or a profile on my company's website, I'll submit alternatives.

I will email a photo of my partially redacted government issued ID showing my name and date of birth.

I will email a photo of me holding my government issued ID.

Date of birth *

MM

DD

YYYY

I acknowledge if I wish to extend during our encounter, there is an hourly $800 extension fee. *

Yes, I'm aware of your in-session extension fee.

Would you like a kink consultation?

Yes, I'd like a kink consultation to briefly check in with you about my interests.

No, I do not need a kink consultation.

I am aware of and have thoroughly read your etiquette protocols and communication boundaries listed under the "Savor" tab on your website and I will abide by them. *

Yes, I will honor the agreements and send concise and respectful messages.

I am aware of and have thoroughly read your deposit and cancellation policies listed under your rates on the "Seduce" page on your website. *

Yes, I'm aware of the partial deposit requirement of 30%

Yes, I understand your deposit is non-refundable unless you cancel.

Yes, I'm aware if I want to reschedule I must notify you 72 hours or more before our agreed upon encounter day and time.