RSVP

It's not my intention
to impress you
no,
I want to make you
feel something
you will never forget
for the rest of your life.

Booking Request Form

Please complete the following booking request form to secure your date in my calendar. Forms which do not include the required information or try to circumvent the screening requirements will not be responded to.

Contact Information

Full Name *

Email Address *

Phone *

Preferred Method of Contact *

Screening Information

Please select one of the following options for screening:

Preferred Method of Screening

Photo ID Verification

Upload Selfie + Photo IDPlease upload a selfie with your Photo ID clearly visible. (Driver's License, Passport, Military ID, Health Card)

No file chosen

Upload Photo IDPlease upload a separate photo of your Photo ID clearly visible. (Driver's License, Passport, Military ID, Health Card)

No file chosen

LinkedIn/Proof of EmploymentPlease choose either the LinkedIn or Proof of Employment option below:

LinkedIn Profile URL

Upload ScreenshotPlease upload a screenshot of a LOGGED IN view of your LinkedIn Profile.

No file chosen

Your Company's WebsitePlease share a link of your profile on your company's website.

Upload ScreenshotPlease upload a screenshot of a work paystub/letterhead which would correspond with your company name & position.

No file chosen

ReferencesPlease provide at least two references from a provider you have met with within the last year.

1st Provider's Name

1st Provider's Email Address

1st Provider's Phone*If applicable

1st Provider's Website URL*If no website is available, please list Twitter/X URL or the provider's Ad URL instead

Second Referene

2nd Provider's Name

2nd Provider's Email Address

2nd Provider's Phone*If applicable

2nd Provider's Website*If no website is available, please list Twitter/X URL or the provider's Ad URL instead

Your Date

Experience *

Preferred Date *

Month

Day

Year

Location *

Street Address

Apartment, suite, etc

City

State/Province

ZIP / Postal Code

Country

Length of Date *

Date Options *Please select any additional options you may wish to enjoy during our date:

PSE/Kink/Fetish

Please describe which kink/fetish/or activity you are interested in:

FMTY

Please describe your ideal Fly Me to You Date:

Roleplay

Please describe your ideal roleplay fantasy:

Duo Dates

Please describe your ideal duo date:

Couples DateIf requesting a date for yourself & your partner, I will require the following information:

Partner's Name

Partner's Email Address

Partner's Photo IDPlease upload your partner's selfie with the Photo ID clearly visible

No file chosen

Please describe your ideal Couples Date:

Arrangements

Please describe your ideal arrangement:

Introduction - Please briefly tell me about yourself & your ideal date. *

RSVP

It's not my intention
to impress you
no,
I want to make you
feel something
you will never forget
for the rest of your life.

Booking Request Form

Contact Information

Screening Information

Please select one of the following options for screening:

Second Referene

Your Date

Confirm Your Booking

Verified By

RSVP

It's not my intentionto impress you no,I want to make youfeel somethingyou will never forgetfor the rest of your life.

Booking Request Form

Contact Information

Screening Information

Please select one of the following options for screening:

Second Referene

Your Date

Confirm Your Booking

Verified By

It's not my intention
to impress you
no,
I want to make you
feel something
you will never forget
for the rest of your life.