You must be local or willing to travel to complete this form. This is for subs that will serve in a real time session. DO NOT APPLY IF YOU WANT ONLINE SESSIONS.
City and State
Fetlife and/or Kik Username
I will be what you want, Mistress
Cock Worship(My Girl Cock)
Bathroom Use Control
Use Bathroom with Supervision
Eye Contact Restriction
Collar & Leash
Health Information (Medications & Conditions)
If requesting anal play tell me your experience both with toys and real cocks.
Previous Submissive Experience (Both Pro and Personal)
Soft and Hard Limits & Any Extra Information.
How did you find Mistress Lupita
Terms and Consent, you MUST Accept to Session
INFORMED CONSENT STATEMENT; I am requesting and at my own risk participating in a BDSM session. I understand activities within the Session will be conducted by mutual consent. I accept sole responsibility to; (a) decide what activities I wish to participate in during the Session and decide what my boundaries are. (b) communicate these decisions clearly before the start of the Session. (c) agree to an appropriate safe word or other signal to request an activity stop. (d) signal immediately, any unexpected fatigue, shortness of breath, chest discomfort, nausea, pain or discomfort. I understand I can discontinue participation at any time during the Session, without prejudice against me, beyond fees or tribute for the Session. LIMITS OF LIABILITY; I understand that any activity undertaken during the Session are voluntary and are at my own risk. I agree to indemnify and hold harmless all participants in the Session from all claims of liability, injury, death, property loss or damage, attorney’s fees and costs and I agree to reimburse them for any such claims; of same, they may have. AGREEMENT; by checking the box and submitting this session application, I acknowledge I have read, understood and agree to the contents of this form and I confirm that all information given by me, is correct to the best of my knowledge. I understand there is no sex involved in Mistress Lupita's sessions, I am a consenting adult over the age of 18 and I am not a law enforcement officer or federal law enforcement agent.
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