Apply Here To Serve Me Name * First Name Last Name Email * Phone (###) ### #### Preferred Session Date * MM DD YYYY Incall or Outcall * Incall (additional $100+ for dungeon rental) Outcall Write your desired session length or choose from the session options listed on the Domme Considerations page. How would you describe your level of BDSM experience? * Newbie 1-3 years of play 3-5 years of play 5-10 years of play 10+ years of play Have you ever seen a professional domme before? * Yes No Which areas of BDSM interest you? Select all that apply: * Note: Listing your interests does not mean all will be explored in a single session. It simply provides me with the information I need to craft future sessions as I see fit. I prefer having options and the element of surprise on my side. Body Worship Bondage (restraints, mummification, PVC tape, rope) CBT/CBB CEI Chastity Choking Corporal Punishment Edging Electro Play Enema Play Face Sitting Fantasy/Role Play Dirty Talk Feminization & Sissy Training Foot Fetish Foot Worship GS/Water Sports Human Furniture/Object Humiliation & Degradation Impact Play (spanking, whips, paddles, floggers, belts, caning, single-tail, slapping, rough body play, etc.) Nipple Play/Torture Orgasm Control OTK Pegging Prostate Play Sensory Deprivation (blindfolds, hoods, ear plugs/headphones, ball gags, mitts, weightlessness, etc.) Sensory Play (wax, ice, feathers, nipple play, vibration, etc.) Sensual Domination (recommended for those new to BDSM) Servitude Spitting Teasing & Denial Trampling Toy Play/Pegging Human Ashtray Tickle Torture Wedgies Sensory Torture Body Modification (branding, tattoo, temporary piercing) Water Retention (forced anemia hold, bladder hold) Body Smothering Knife Play Smoking Fetishes (cigar, cigarette, or hookah) Infantilism/AB Financial Domination Other What specific BDSM acts are "off-limits" to you? Please list any boundaries and/or triggers. You may include explanations only if desired. * How did you find me? * Option 1 Option 2 Message If there's anything else you'd like me to know, jot it down here. I understand that Scarlett will reply to this form via email and I should check my "spam" folder before I follow up with her regarding my form. * Yes No (you will not receive a response) I understand that a deposit is required and I'm ready to send a deposit upon booking. * Yes No (you will not receive a response) I understand that Scarlett will conduct a screening after my deposit has been received. I understand that I'll be asked to provide screening information & I'm prepared to do so. * Yes No (you will not receive a response) Thank you! Your submission was successful.