Preferred name (if different from the name on your ID)

Email

Confirm email

City and state of residence

If not in the US, specify country as well.

Age

Gender identity and pronouns

The Rendezvous

Desired date and time

For best results, provide at least 2 options. Be as specific as possible (include exact dates and timeframes).

Humble introduction

Introduce yourself and briefly share about your interests for our time together. If you're seeking a foot worship session, include any footwear-related requests. If you're seeking travel companionship, provide details about the destination and length of time you're proposing.

Medical concerns/Health history (***Include any disabilities, major surgeries, heart conditions, breathing issues, STIs, joint replacements or mobility issues, spinal issues, head trauma/TBI, nervous system issues, mental health conditions, personality disorders, allergies, skin irritations or sensitivities, medications, etc.)

Screening information

You may choose from the following options... 1. A photo of your legal ID (passport, license), and a selfie of you holding the same ID next to your face. You may cover the address for privacy but all other information must be visible. 2. A photo of your legal ID and the url for your established LinkedIn profile (200+ connections and a public-facing photo). 3. A photo of your legal ID and a company website with your photo and title on it. 4. Any of the above options, accompanied by supplemental references from reputable BDSM professionals that you've sessioned with in person within the last 6 months. ***Please note that references are supplementary ONLY, and are only accepted along with one of the 3 options offered above.

Have you sent your initial tribute/application fee?

Through which payment portal did you send?

Include which payment platform/handle/name/etc your tribute came from.

Screening Acknowledgement

I understand that in order to complete the screening process and have my inquiry considered, I must submit a photo of my ID along with this completed form.

VIP INQUIRY