Ready to take the plunge? I’m glad.

Be aware, I only reply to forms that are completed properly, so please be thorough.

To ensure my safety, screening is required and non-negotiable for all first encounters. But, it’s quick, painless, and rest assured I will never share your personal information. Your privacy is important to me.

Use at least one of these screening options:

  1. Two recent provider references
  2. Your Linkedin/company website and a blank email from your work email (I have a discreet, unlisted email you can request for this)
  3. Gov’t issued ID (showing full name, DOB, and photo only)

If you’d prefer, you can also email me the required information at

Please note that while I do oversee my inbox, booking requests are handled by my trusted assistant, Genesis, who will make our date planning run smoothly.

I’m selective about who I spend time with. Taking the time to thoughtfully fill out the form goes a long way. I’m looking forward to meeting you. Xoxo

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    Your Details

    * Full Legal Name:

    * Email:

    * Date of Birth:

    * Telephone Number:

    Appointment Details

    * Date of Booking:

    * Time of Booking:

    • :

    * Duration:

    * Incall/Outcall

    * Please provide your location name and address:

    * Please provide your location name and address including country & city:

    Screening Options
    (choose your preferred method of screening)

    1. Companion References
    Minimum of 2 references from companions you have visited in the last 12 months. Name, website & email.

    * Companion reference 1:

    * Companion reference 2:

    2. Employment Verification

    * Position:

    * Company name:

    * LinkedIn page:
    with profile picture.

    3. ID

    * Please provide a copy your photo ID:

    Additional Information


    * Where did you hear about me?

    * If other, please state below:

    * Please enter the directory name below:

    * Love letter:

    * I've read, understand, and agree to the terms stated on the Etiquette page, including the Cancellation Policy.