BEFORE YOU COMPLETE THIS FORM, CHECK MY CALENDAR TO VERIFY THAT I AM AVAILABLE ON THE DAY YOU REQUEST.
Items marked with a red asterisk are required. Thank you for your cooperation.
This form is for serious inquiries only. If you do not intend to schedule and show up for a session, do not use this form.
If you provide false, incomplete, or misleading information, you will be forever banned from my nursery.
This form is encrypted and the information you provide is forwarded securely to a private e-mail account, so your information is perfectly safe. After your session, your form will be permanently deleted, so your information has no chance of falling into the wrong hands.
I run a legit business. If you are looking for sex, there are plenty of nice escorts who can accommodate you. I cannot accommodate you.
I do not drink, smoke, or do drugs.
My facility is smoke free. A visit to my nursery may be an ideal opportunity for you to quit. No smoking.
My facility is drug free. No illicit drugs. Drugs are bad. Drugs kill. Drugs take. Drugs are stupid. You may bring Rx and OTC drugs, like aspirin, antihistamines, et cetera.
I do not drink alcohol. Alcohol numbs. You want to fully experience and remember your session, so I discourage the use of alcohol. If you think you need it to relax, you are wrong. I can relax you in less than a minute, using covert hypnosis. You will feel very calm while you're under my care.
There is a delay of up to 12 hours from the time you submit your form until the Internet gods deliver it to me, so same day appointments are impossible!