IMPORTANT UPDATE:I am currently on an international tour and am only available for in person sessions in limited locations while traveling.  See the travel dates at the bottom of this page.  Distance domination and remote training options are still available including video sessions, phone sessions, chastity programs, email/task programs and custom video and audio.  Go here to learn more about online slave training and Femdom sessions.  

To ensure a fulfilling session for both of U/us, I will need some information about you.  The information in this form is used to plan your session, so take time to put EVERYTHING you wish to convey in this form.  Sending multiple emails with interests and fantasies is inefficient and they are likely to get overlooked come session time.  All information is kept in the strictest of confidence.

(Please copy and paste into an email and return to Me for consideration)

My email address is: This email address is being protected from spambots. You need JavaScript enabled to view it. 

When in My home base of Atlanta I typically conduct sessions between 2:00pm and 8:00pm weekdays and some Sunday evenings between 6:00pm and 8:00pm (2 hour minimum session on Sundays).  I do not session on Saturdays. Note that same day sessions with new clients are not possible.     

 

Date/ Time requested:

Duration of session (90 minute minimum):

Your name and last initial:

Cell phone number:

Your location:

Age:

Physical description (height, weight, etc.):

Marital Status:

Occupation:

Medical Concerns, Physical Limitations:

Viagra and other erection enhancing medications: 

It is not recommended that you take this class of medication prior to a BDSM session.  BDSM activities are exciting by nature and combined with Viagra or similar drugs, undesired side effects like shaking, dizziness and even fainting can result.  If you do take an erectile enhancing drug prior to our session, be sure to disclose this so I can take the necessary precautions.  

Phobias, Abuse Issues:

Eyeglasses, Contacts?

Can you be marked? If so, for how long?

How long have you been involved in BDSM activities?

Do you have references from other Dommes (local, national or international)?

ACTIVITIES I AM INTERESTED IN: (Choose all that apply and list specifics.  Delete the rest.)

  1. Bondage:
  2. Corporal Punishment:
  3. Genital Torture:
  4. Nipple Torture:
  5. Foot Worship:
  6. Trampling:
  7. Tease & Denial:
  8. Face Sitting/Smothering:
  9. Humiliation (describe preferred method):
10. Feminization/Sissification:
11. Gender play / role reversals: 
12. Medical Play/Scenes:
13. Tickle Torment:
14. Pet play/training - puppy, pig, etc.:
15. Cuckold fantasy:
16. Chastity - Key-Holding (CB-3000,6000,The Curve) long or short duration training:
17. Public performance/public outings:
18. Sensory deprivation/overload
19. Toilet Training - GS only:
20. Electro Play/Torture - Violet Wand and the infamous ErosTek.
21. The Venus 2000  - if you don't know what it is, Google it
22. Wax play

My hard limits:  scat (hardsports), blood play, age play, incest play, adult baby and intimate sexual contact.  Don't ask. 

List your hard limits: 

 

Is aftercare important to you?  If so, how much of the session time do you need devoted to aftercare?

 

List any other activities of interest:

 

Want to share a fantasy?  Go ahead, here is your chance.

 

How did you hear about Me?  Please be specific.  

 

When submitting this form, your email address will be added to My mailing list.  If you do not wish to be added, just indicate so here, or unsubscribe at any time.


Again, all information held in the strictest of confidence.

Special Note:  A deposit is required of all new clients.  Anyone booking a session in excess of 2 hours is also required to secure it with a deposit.  Once we set an appointment, your punctuality is expected.  You will be required to confirm your session 90 minutes prior to the actual appointment (unless specified otherwise) by calling Me from the phone you listed on this form.   If you call late, your session could be canceled. All deposits are non-refundable if you no show or cancel.  Cancelations with less than 24 hours notice are subject to a cancelation fee equivalent to 50% of the session fee and a deposit will be required to reschedule.  

 

TOUR DATES:

Bucharest, Romania April 19th - 21st
Athens, Greece - June 2nd - 4th

 

 

 

Mistress Ayn, Professional Dominatrix,

     Atlanta,Georgia