I use the term "slave" as a catch-all phrase for those who come to serve me. Whether you are a masochist, a bottom for play, a fetishist, or a hardcore submissive, everyone starts out with me as a slave. (If you have an issue with that, go bake a humble pie and try again later.)

This form is mandatory for all prospective slaves. The information provided allows me to decide whether or not we are compatible, as well as keep of your info and interests as time goes on. This form also provides a quick-reference for those with discretion issues, health problems, living in another city, etc.
 

Concerning Privacy

In the 3 years of having this online application, it's been duplicated dozens of times, but mine is the original. This form's data is encrypted once it's sent to me, and is actually stored on a secured server with myself having the only access. This extra layer of safety is a bit more expensive, but the peace of mind for my slaves is well worth it. Read more about my Privacy Policy.


I recommend that you take your time in filling out the application. Remember, you only get one chance for a good first impression.

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A. About You    
 

If you are a couple, please fill out the form as the submissive party.
If both parties are submissive, you will need to submit two applications.
 
  Your name:
  Note: You are welcome to use your real name or a pseudonym. If you use a real first name, please include either a middle name or a last initial to make your info easier to locate. Example: "John R." or "Sissy Clara."
  Your email:
  Note: Please double-check this address is correct. If you do not have a personal email account, I suggest using Yahoo Mail or Gmail to setup a free account. Remember that an email address is: name@domain.com.
 
  Phone Number:
  Note: All phone numbers are kept strictly confidential.
  Can I Leave a message?

Yes

No

 
  Best Method of Contact:  
  Location: Zip Code:
  Note: I use your zipcode for sending out travel notifications, so I can notify people within a certain distance of a city I will be in. If you are uncomfortable leaving your mailing zip, you can always share a nearby zipcode and achieve the same results.
 
  Age:
  Marital Status:
  Occupation
  Income Level
B. orientation    
Your sexual orientation is: Heterosexual Bisexual Homosexual
You consider yourself:
What's the difference?		 Bottom Submissive Slave
Sissy Fetishist Switch
C. Interests and Activities Done It Before? Rate It



If you need an explanation of a particular fetish or activity, see my BDSM Cheat Sheet. If you are unsure of how I indulge in these activities, see my Interests page. (Both pages open in a new window so you will not lose your place.)
When rating an item, 0 is no interest, 5 is maximum interest.
 
Foot / Leg / Body Worship Yes No
Smothering and Face-Sitting Yes No
Trampling and Crushing Yes No
Cock and Ball Torture (CBT) Yes No
Nipple Torture Yes No
Bondage and Restraint Yes No
Corporal Discipline Yes No
Tease and Denial Yes No
Feminization and Cross-Dressing Yes No
Humiliation Yes No
Anal Penetration Yes No
Strap-on Play Yes No
Clothing/Accessory Fetishes Yes No
Electrical Stimulation Yes No
Sensory Deprivation Yes No
Sensation Play Yes No
Toilet Training (golden only) Yes No
Smoking Fetish Yes No
Cock Control Yes No
Puppy or Pony Play Yes No
Role-Playing fantasies Yes No
Medical Play Yes No

If you would like to expand on an item above, you can do so here:
(example: "I enjoy corporal discipline, but I have a limit for wooden paddles," or "My role-playing fantasies include teacher/student and babysitter/boy.")
C. Essays  


Take your time and answer each question completely.
Short or poorly worded answers will not impress me.

What has been your BDSM or D/s experience until this point?
 
Have you served other professional Dominants in the past? If yes, briefly describe the encounters.

What attracted you to me? What are you hoping to experience by seeing me?

What are your session expectations?
 

Describe one or more of your most recurring fantasies, in detail:

How often do you masturbate? What do you masturbate to?
 
Do you have specific fetishes not listed above? (Example: pantyhose, leather, metal restraints, etc)

Would you like to request a certain type of clothing or outfit? (Vanilla, leather, knee-high boots, etc.)

If you indicated an interest in humiliation and/or clothing fetishes, describe what that means to you. What are your humiliation limits?
C. Additional Info  
What is your pain enjoyment level? (1 being a complete wimp, 10 the ultimate masochist) 12345678910
What style of domination is most effective on you?
I am always looking for good photo/video slaves. Are you interested in filming with me, or having your session recorded?
Is there anything I need to know about your work schedule, marital conditions, extenuating circumstances, etc that could affect scheduling or discretion?
Do you have any health issues or currently taking any medication? (Include things like aspirin for high blood pressure!)

Where did you find my site or hear about me?
 

Do you have anything additional to add?
 




Follow the instructions after submitting the form to verify your email address!
 


 

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