Make a Date!

I love making new friends! Please fill out this form completely. The more information you share the more comfortable I will be!

Though you are a priority, this is my side business. I will do my absolute best to respond within 48 hours. Your patience is appreciated!

Please note that I am rarely available for same-day dates, and although I can accommodate one-hour incall dates, my preference is for two-hour dates or longer.

Your Legal Name

First Name

Last Name

Your Email Address

Phone Number

(###)

###

####

Your Age

Reference #1

Recent provider references are my preferred screening method. Please provide the name, email, and website of two reputable companions you have met within the last year. Has it been awhile? Scroll down for screening by way of work verification.

Reference #2

P411 Handle

Optional

TER Handle

Optional

Work Verification

If you don't have recent companion references, please provide the name of your company and your job title / position at said company, a link to your LinkedIn page and / or other professional website (IE if your name is listed on your official company website), and your official work email address.

When Shall We Meet?

Your ideal meeting date

MM

DD

YYYY

What Time Shall We Meet?

Your ideal meeting time

Hour

Minute

Second

Where Shall We Meet?

My place or yours?

Incall (my place)

Outcall (your place)

How Long Would You Like to Spend Together?

Sweet Nothings

Tell me a bit about yourself, if you have any wardrobe requests, or anything else you want me to know!