Online Session Booking Form

Name*

First Last

Email*

Phone*

Age*

Profession*

Your Location*

Session Or Distance Training Communication Choice*

Have you made tribute or bought time for this training or session ?*

Have you emailed the tribute or payment details to My Email address : giftgoddesseidra@gmail.com ?*

Date Of Session*

Second Alternative Date of Session: (required)*

Third Alternative Date of Session: (required)*

Session Time*

Session length*

BDSM Experience*

How would you describe yourself: (required)*

Do You Have a Preference In The Style Of Domination You Wish To Receive?

What Are Your Interests, Fetishes And Your Limits Or Taboos ?*

If Fully Booked Would You Like To Be Place On Waiting List ?*

Medical Conditions ?*

I will not be held responsible for any accidents that happen as a result of undisclosed medical conditions

Where Did You Find Me?*

Have You Got The Knowledge Of My Online Training Rates And Limits/taboos ?*