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Basic Information
Upload File
Please upload a photo of you Driver's License or Passport.
Booking Information
Please describe your ideal virtual date. Include any special requests or kinks/fantasies you would like to explore with me.

Screening And Booking Request Form

Please note that not all information is obligatory, however for screening purposes it will make booking our date that much easier! All information is kept strictly confidential and will not be shared.



Please fill out my booking request form with complete screening information and deposit in order to book our virtual date.

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