Your Name*

Your Email*

Your phone number*
(I will never contact you via phone or text without your explicit permission)

Your Age*

Occupation*

Your Home City*

Preferred city to meet in*

Your place or mine?*
---IncallOutcall - 4 or 5 star hotel

1-3 date/ time suggestions
I am occasionally available for last-minute dates, but my calendar fills up quickly! You will often have better luck if you suggest more options and dates further in advance. Please be as specific as possible with your availability, e.g. "17th March, 2-6pm" or "2nd April, after 7pm" or provide a window of dates that work eg "Any day week commencing 2nd April, especially if your diary is inflexible and are interested in evenings or weekends"

Date 1*

Date 2

Date 3

How long would you like to spend together?*
---Two hours - Not available until further noticeThree hours - Drinks and playtimeFour hours - Dinner and dessert in privateExtended - 4 to 12 hoursOvernight - Up to 16 hoursBespoke - Fly me to you / Weekend break / Extended travel

A little about you.*
A brief introduction, like the one you might make on a traditional dating site; your background, your previous experiences (if any) what motivated you to reach out to me, and whatever else you'd like me to know about you.

What would you like to get up to on our date?*
Private playtime, deep conversation over cocktails, dinner and long walk back to the suite, a show - I'm open to any and all suggestions.

Screening.
Please select your two preferred forms of verification.
Provider ReferencesPhoto of IDLinkedIn or other Online ProfileOutbound email from business address (I will provide a discreet recipient address)

References.
Please link to the (active) websites of one or two companions or BDSM professionals you have seen in the past 24 months.

Photo of ID (image and name visible)

LinkedIn/Other Profile

Where did you find me?
---Search engine (e.g. Google)Directory or listingFriend's webpageTwitter/InstagramOther - Please elaborate below

Further details on how you found me

I correspond with clients on a secure (encrypted) server. I will not share information about you with anyone unless you give me specific permission to do so (e.g. you ask me to provide a reference to another provider). You can request to see all the correspondence I have from you at any time, or request that I delete all of it. I may send you emails occasionally, for instance if I am traveling to your area. If privacy & discretion are your concerns (as they should be) I recommend you email me from an encrypted ProtonMail email address. It should take under 2 minutes to sign up, and this ensures end to end encryption.
Please check to confirm you understand these conditions!