Connect

Longer dates will always take priority over shorter ones. Please ensure to provide all required information completely and correctly. Incomplete or falsified submissions will not be accepted. Organized submissions will receive priority response. Alternatively, you can send a love note here to get in touch directly. Remember, first impressions are everything!

Booking Form

Full Legal Name

First Name

Last Name

Preferred Name

Introduction

Desired Date

Desired Start Time

Do you have any flexibility on dates and times?

Incall, Outcall, or FMTY?

Incall

Outcall

FMTY

Where would you like to meet me?

Employer Info

Provider References are not required; however, they may speed up the screening process. References alone are not enough to secure our date; additional information should be submitted below. I may reject any references that I deem irreputable.

Provider Reference #1

Provider Reference #2

Provider Reference #3

Real Cell Phone Number

Age

Which photo of mine first caught your eye?

Screening Method

Employment Verification - A screenshot of your logged-in LinkedIn profile + company email

Photo ID + Selfie

Upload File

I understand that a discreet, non-refunable deposit is required for all encounters

I understand that rates are non-negotiable

Thank you for submitting! Please check your spam folder if you do not receive a response within 24 hours.