Booking Form


I’m dedicated to ensuring our time together is comfortable, enjoyable, and memorable. In return, I simply ask for a few things to help me feel at ease, so we can focus on what truly matters - enjoying our time together. Your information is ONLY used for my safety and to assure that you are who you claim to be. It will never be kept or stored in any way.


I will not make any exceptions to see someone who refuses to tell me who they are.


Please use your real name, I need to be able to link your name to your phone number to verify that you are who you say you are. I don't ask for any other form of verification - so please make sure this is correct.

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After completing the form, please feel free to text me (NO CALLS),

to let me know that you have submitted a booking request.


Please include your NAME and EMAIL in the text,

so I can find your submission.

812-512-1814

PRIVACY AGREEMENT

By booking with me your are agreeing to a verbal non-disclosure agreement. Rest assured that all personal information is viewed privately & discarded upon verification to ensure your discretion. These screening methods ensure safety & peace of mind in our time together and are an industry standard. To ensure the well-being of our endeavors together and guarantee the airtight discretion we both require, it follows that all correspondence shall be kept completely private. Failure to comply with my privacy policy will result in the termination of all communication effectiveimmediately.

​Thank you for understanding.