Submit Session Request

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Please provide your real phone number. No burner phone numbers.
Click or drag a file to this area to upload.
I will need a photo of you holding up your ID next to your face. I will match your face to the photo on the ID. Please make sure that the ID is in focus and that the text is legible. (If you feel more comfortable scribbling out any sensitive information such as your DL # and/or home address that’s totally okay!) I just need to be able to read your full name and your date of birth. This is to ensure that you are over the age of 21.
City to Session In 2024
Sponsorship: Within Texas – Most places in Texas, I will drive to. If I can drive to you, the sponsorship cost is $50 per hour both ways plus the cost of my hotel if I stay overnight. Outside of Texas (Within USA): The minimum cost for me to travel outside of Texas is $1500 (for a two-hour session) Additional hours will be priced at the normal rate plus the cost of flight, hotel, and Uber/Lyft expenses to and from the airport.
Please provide any references of other models/providers you have worked with. Include their phone numbers, email addresses, or IG/Twitter usernames so that I can verify. If this is your first ever session, please note that in this section.
Please provide your social media usernames. You will NOT be contacted or followed on these platforms. I just need to make sure that you are a real person.
Main Session Activities
Please select the main activities for your session. This will just give me an idea of what to focus on while we negotiate and will help me quote you appropriately. Quotes take place during the consultation.*
In addition to the selections you made above, please briefly describe the kind of session you are interested in so that I can know whether or not I can provide what you’re looking for. This is also a space for you to list any questions, comments or concerns you may have.
Please list any and all of the limits and boundaries that matter to you the most. Be sure to include names that are off-limits.
Please list any health concerns here. Including, but not limited to, medications I need to be aware of, possibilities of seizures, allergies, injuries, etc.. If none, please write “NA”
Selected Value: 0
On a scale of 0-10, let me know how much pain you would like to experience. 0 being absolutely no pain whatsoever, 10 being the most extreme pain you’ve experienced (without causing permanent damage to your mind / body)
Click Here to Schedule Your Consultation
I would like to have a quick 10 – 15 minute consultation with you about your needs via facetime, google meet, skype, or zoom. The consultation fee is $20 in addition to the price of the session. If we decide not to session, the $20 consultation fee is non-refundable.
Click Here to Pay for Your Consultation Fee
The consultation fee is $20 in addition to the price of the session. If we decide not to session, the $20 consultation fee is non-refundable. Please follow the link, and choose one of the payment options to solidfy the consultation in my calendar. If the fee is not paid, we will not have the consultation, or the session.
Consultation Fee
List the payment option you used for the consultation fee, and what your username to the payment option is.