Request a Booking

Ready to Rock and Roll?

I’m so excited that I have piqued your interest. As stated on my etiquette page – discretion, confidentiality, and safety for both of us is extremely important to me. I ask that you fill out this form to streamline the screening process so that we can get to the fun stuff. All information sent through this form is encrypted and I am the only person who has access to it. I don’t use it for anything other than making sure our time together will go as safely, smoothly, and exceptionally enjoyable as possible. Required fields are marked, and if you are thorough with everything that is not absolutely required I see that as an act of good faith and that you want to make our time together a priority. Before you fill this out please do read the entirety of my site to make sure we are on the same page about all the nitty gritty details. My response and the primary method of our communication will be to the email that you use in this form so please use one that you feel comfortable with me messaging. Thank you so much for your diligence, I very much look forward to meeting you!!

For verification purposes please use your regular phone number

Verification info: Please provide at least 2 of the 3 sections below

Section 1: Employment

Section 2: References

If you have 2 it's helpful in case one is unable to respond

Section 3: Photos

Preferences and a few more details about you!

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