How would you like to be contacted?
*
If you are looking for an in-person session, you *must* select text or email.
Text
Email
Social Media (online only clients)
Is this your first time booking with a provider?
*
No judgement here. I know this process may seem daunting if it's your first time. I'll do my best to make sure you understand the process and feel comfortable with everything.
Yes - I have never seen a provider
No - I have seen a provider(s) before, but this is my first time with a Domme
No - I have seen a provider(s) before
Which accessibility requirements do you have, if any?
Please select all that apply to you. Skip this question and the next one if none apply. If you select "other," please ensure you add in details for the next question.
Latex Allergy
Scent Sensitive
Visually Impaired
Hearing Impaired
Mobility Impaired
ESL / English Second Language
Other
Which services are you requesting?
*
Select all that apply for your first session with me.
In-Person Session - Fantasy Session
In-Person Session - FemDom Session
In-Person Session - Massage Session
Online Session - Phone / Audio
Online Session - Text + Pics/Clips
Online Session - Text Only
In-Person - Dose of Domme - $100 for 5 mins
In-Person - Cashmeet - $1k minimum
Which date are you requesting?
*
MM
DD
YYYY
What time are you requesting?
*
Please note: my hours are from 12pm (noon) - 10pm (last appointment start time). A $50 deposit is required for late night bookings after 10pm.
Hour
Minute
Second
AM
PM
What are your soft and hard limits?
*
Do not put "no limits" - consider anything that you want to avoid having done in a session. If you are unsure, then you may put "unsure."
What are your expectations for our session?
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Please note: a $100 deposit/pre-payment is required if you request any prep for the session that will take a significant amount of my time (e.g., Me wearing smelly socks all day)
Please select all kinks and fetishes that you are open to / interested in. These are what I offer.
If you have chosen a BDSM Domination session, please respond to this question.
Financial Domination
Mind Control / Hypno
Bondage & Restraints
Spanking & Impact Play
Tease & Denial, Edging
Humiliation & Degradation
Cock & Ball Torture (CBT)
Chastity / Orgasm Control
Anal Play / Pegging
Foot Fetish
Edge Play
Body Worship
Other
Do you confirm that all the information you have provided on this form is accurate and true?
*
It is against my terms to assume a false identity to procure services. Please ensure you are being honest and trustworthy, as I would be with you.
ALSO: please double check that you have filled this form out correctly (especially your contact information), otherwise I may not contact you.
Yes
No
Do you confirm that you have read, understood, and agreed to all of the Terms of Service listed on the Policies page?
*
If you do not agree with the TOS, please do not use these services. Please contact me directly if you have any questions.
These are the key points from the TOS:
- You will behave in a respectful, trustworthy, and considerate manner, and openly communicate about your preferences and any appointment changes.
- You will ensure any deposits and payments requested and/or required by Monica will be paid on time. Full payment is due at the start of session.
- You will be free of any active or transmittable infection, and not require urgent medical care at the time of your appointment.
- You will not touch Monica's head, face, or neck (including hair pulling, choking, or kissing) during a session, unless Monica has given you prior consent.
- You understand that Monica will not participate in any play involving scat, blood, needles, knives, or sounding.
- You understand that if you cancel within two hours of your appointment time, you owe a $50 cancelation fee. This is the same for no shows.
- You understand that Monica will protect and treat all your personal information and interactions with her as confidential unless legal action is required.
- You understand that you waive any claims of liability against Monica when using her services (note: Monica will do her best to ensure your health and safety).
- You understand that you have the right to end a session or terminate services at any time, for any reason. Monica may do the same without justification.
- You understand that services will be discontinued or denied if you engage in conduct outside of your agreement or attempted without prior consent.
Yes
No
OPTIONAL: Any questions or comments?
This is an optional space where you can include any questions or comments you may have for me.
Thank you for submitting your booking request. I will be in touch within 24 hours regarding your booking request. If you do not hear from me, this may mean that your booking form was completed incorrectly and you may need to re-submit the form.
If you would like to book an appointment within the next few hours, please email me directly at MonicaMystique@outlook.com so I can view your request more quickly.
xoxo Monica