MsRogues Booking Form

Want To Experience The Oral Specialist?

Please Complete This Booking/Screening Form To Proceed With Scheduling. If There's Any Items That Doesn't Apply Please At Least Put "N/A" -- xoxo MsRogueSA
Hi! I'm Ms Rogue. Have We Met Before *

Yes No
Where Did You Find My Website? *
Ex: Tryst, Adultlook, Private Delights
Coronavirus Questions

Please answer these few questions HONESTLY. We are all accountable for this one. Leave blank if doesn't apply. I'm also going to ask that you look over the work & Coronavirus page so that you are aware of the procdures to take when you come in. https://msrogueofsa.net/work-coronavirus/
Have You Traveled Outside The Country? *

Yes No
Have You Been Around Anyone That's Been Outside The Country *

Yes No
Experiencing any of the following syptoms, leave blank if your not

Shortness of breath Coughing Fever Loss of Taste or Smell
To start doing your screening a $25 booking fee is now required that is counted towards your donations when you send this form in.

Please send me a email @ msrogueofsa@pm.me confirming that you sent your fee, so that i can properly credit you.

This is to cut out the fantasy screenings that had been going on.

i will not stop to even look to see who sent the form in unless booking fee is sent.

alot of you are sending this form in, not sending the screening fee with it. you dont acknowledged in case anyone is wondering

besides that, this is what donations are for, paying for all the bills that everyone thinks is free. so. i cant pay it all on my own.

Alot of you are just ignoring the fact of the $25 Booking Fee and confirming email that it was you that sent the $25 Fee in, don't wonder why you don't get answered!
Tell Me About Yourself

Personally, I want to more about you than your dick and a fake name! There's more to you than that, I would like to know how I would be having a date with.
Legal Name *

First Name Middle Initial Last Name Suffix
Primary RW Email *
Age *
ex: 23
Primary RW Phone Number *
Please No VOIP, Work or Hobby #s
City And State You Reside In *
Upload File (Optional)
Hobby Related

Please complete these filled in they apply. Hobby Handles or Usernames that you register on sites with.
Please Provide Any/All Forum Handles If Applicable
Hobby Phone Number If Applicable
Hobby Email If Applicable
example@example.com
Best Times To Contact You *
When You Would Like To Have Your Experience

When You Enter Into Rogue's World, You Enter Into An Experience!!! Only you know when it's the right time to escape to have your personal experience. Let me know what fits your schedule best below. If you already know a specific time and date, you can use the calendar. Or if you have a more flexivle schedule, use the comment box below to let me know the times that you can escape. (ex. between 10-2) For a more personal Experience, that's tailored just for you, please let me know in the comment box below.
Date *

Month Day Year
Date Hour Minutes AM/PM Option
Duration of Visit *
Any Notes, Comments Or Requests ....For OH2 Members plz provide your profile link
If it's better for you, you can put a time frame that is better for you. (Ex: Between 10-4)
Please verify that you are human *
Should be Empty:

Want To Experience The Oral Specialist?

Coronavirus Questions

Tell Me About Yourself

Hobby Related

When You Would Like To Have Your Experience