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Image by Nathan Dumlao

Client Screening

 If you are looking to share an intimate moment with me, please provide a little information about yourself...

*You may text or email me the following*: 

*Screening is required before securing an appointment*


  • Name*

  • Age*

  • Ethnicity*​

  • Are you seeking an incall or outcall appointment? (If outcall, provide desired location)*

  • 2 or more references* (Example: a valid reference would be the name and contact information of an independent provider, who is currently still advertising. Must be from a provider that you have had a successful date within the last 90 days).   


  • Current Residence (City + State)

  • Desired Appointment Time (Date + Time)

  • Desired Length of Appointment*​ (1 Hour Minimum) 

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