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Full screening is mandatory before I confirm an appointment.

I am absolutely discreet with your information. Your confidentiality is my top priority. My screening process is non negotiable and for my safety. I will not see you without it. Your pertinent information is deleted after verification.

I require full legal name and Date of Birth. Upon arrival, please have your Identification present. If your identification is not present or it does not match the information you provided during screening, I will not see you.

By contacting me you are acknowledging and agreeing to my screening and cancellation policy.

Booking Form

Email Information

If you are not comfortable using my booking form you may email me the necessary information. I will not answer ANY email that does not have the all the information included.

About You

  1. Full Legal Name*
  2. Date of birth*
  3. Email*
  4. Phone*
  5. Preferred Method of Contact (phone call, text, email or no preference*)
  6. Ethnicity*
  7. Occupation*

Appointment Details

  1. Date Requested*
  2. Time Requested*
  3. Appointment Length requested*
  4. City Requested*
  5. Incall/Outcall?*
  6. If outcall, please provide the address*


  1. TER handle/P411 handle, work verification (please include employer name/address/phone) or 2 providers references who you have seen in the last 6 months (include name/website/email).*
  2. Introduce yourself*

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