Submission Application Name * First Name Last Name Email * Age * Gender / Pronouns Occupation * Session Location * Frederick, MD Area Visiting from out of town Online only Length of Session (2HR minimum) * What session type are you interested in applying for? * In Person Domination Session In Person Domination Session and Social Outing Social Outing Online Domination Desired Session Location * Washington DC Area Online Describe your past experiences with BDSM, and your experience level * How do you want to feel at the end of your experience? * List your limits and boundaries (Note: Do not put 'None' that is unacceptable and I will not entertain that) * List 2 verifiable references of providers you have seen in the past two years. I require the following information: name, email and website/URL of their current ad. If you do not have references, type "no references" in the field below. For those without references: Once a date and time for our appointment is set I will require a non-refundable deposit, and a photo of your gov't issued ID next to your face or LinkedIn profile URL. This is a necessary precaution to ensure my safety and will not be used for any other purposes * What do you identify as? Check all that apply. * Submissive Slave/Servant Masochist Fetishist Crossdresser Sissy Other Elaborate more on your interests/curiosities. * Pain Tolerance * None Slight Moderate Heavy Can you be marked? * Yes, marks are not an issue Marks lasting a few days are ok No marks at all Do you have any medical conditions or physical limitations I should be aware of? Where did you hear about my website? * Additional questions or comments I have read and agree to the late and cancellation policy as stated on the FAQ page* * I agree I understand that no sexual activity of any kind is offered or implied.* * Yes Select a date that you would like to arrange an introductory phone call. * MM DD YYYY Your application has been submitted to Mistress Malisandre for review.