Get In Touch

Have some ideas? Drop me a line!

For safety reasons, screening is required for all new friendships to blossom. Your personal information is of importance and confidential.

Please submit a completed form via the button below, along with an introduction. The more information you can provide, the better!

Please check your spam folder if you don’t see my response within 5-7 days.

New Form

Name

First Name

Last Name

Age

Must be 21+

Cell number

I will not reach out to you this way, unless previously agreed upon

City and state of residence

Which city would you like to see me in?

Potential date(s) to meet

Desired time

Desired meeting length

Incall or outcall?

Location, if outcall

LinkedIn or link to employment bio on company website

http://

References

Names with email addresses or websites

Where did you find me?

For marketing purposes

Introduction message

Session interests

What activities appeal to you? What are some things you've done and things you're curious of exploring together?

Medical notes and hard limits

Any allergies, medical conditions, or ailments that would be helpful for me to be aware of before we play together. ie: hip injury, allergic to coconut oil, fragrance, latex, etc.