Copy and paste the following form into your email client. Email your completed application to ginevrasm@gmail.com. A completed and approved application is required before booking your first session. Lady G will contact you via email after reviewing your application.
Application for Submission to Lady G
Name (First name and last initial required):
Scene Name (if different from above):
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Email Address (Required):
Phone Number:
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City/State:
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Age:
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Height and Weight:
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Gender Identity:
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Preferred BDSM role or roles (ex. submissive, slave, little, pet, masochist, etc):
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Do you have prior experience in the lifestyle? If so, please describe briefly.
What are your limits? (Things that you will not do/allow to be done to you.)
Health issues and/or medications:
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Potential triggers (previous traumatic experiences, phobias, etc.):
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Marks: Are you comfortable with visible marks, under clothing only, light marks or no marks at all?
What type and length session or sessions are you seeking? Please review my list of services if unsure.
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Briefly describe your ideal session.
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Please share any questions or concerns you have for me.
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Where did you hear about Lady G?
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By submitting this application, you are stating that you understand the following:
~Lady G does not offer or accept sexual services of any kind.
~You are seeking paid services from a professional Dominant.
~You have answered the above truthfully. Misrepresentations are grounds for immediate dismissal.
~Submitting this application does not guarantee your acceptance or constitute booking a session.