Booking
Screening is required before we can meet in person. All information disclosed here will remain 100% confidential and will never be stored. Let me know if you have any questions that are not covered on the About, Details, or FAQ pages. I prefer to keep all correspondence through email, so I will not contact the phone number you provide. Your ID photo only needs the name, birthdate, and picture clearly visible. Please include as much information as possible to expedite the process. Active Preferred 411 members may DM me an appointment request instead of filling out this form, though I may request additional info.
If you would rather send your information in an email or if this form isn't working, here is a text version.
TEXT VERSION FOR EMAILING
About you:
First and last name:
Email (this is how I will contact you):
Personal phone number (for verification purposes only):
City and state of residence:
Occupation:
Age:
Ethnicity:
LinkedIn page:
Any social media accounts:
Where did you find me?:
Appointment info:
Date:
Time:
Duration:
Incall, outcall, and/or social date:
City:
Address (if outcall):
References:
1. Name:
Email:
Link to website or current ad:
2. Name:
Email:
Link to website or current ad:
3. Additional references or online handles:
Any comments:
☐ I am over 21 years old and certify that the information provided here is true. I have read the About and Details pages and agree to all terms. I understand that any compensation between consenting adults is for time only. I will respect your privacy and boundaries by not writing a review or mentioning our encounter anywhere online at all.
If you do not have references or a LinkedIn page with a picture, please attach a legible photo of your valid ID (only the name, picture, and birthdate need to be visible)