I’m genuinely excited to connect!

To request a date, please complete the form below. Alternatively, you may email me all the information (click here for details).

All information will be kept private and deleted after successful verification.

Name

First Name

Last Name

Please check your spam folder for my initial response, just in case. Thank you!

Phone Number

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Incall or Outcall?

Desired Location (City/State)

Desired Duration

Desired Date

YYYY

Desired Time

Hour

Minute

Second

If you prefer to provide different available days and times for our date, you may share them below instead.

You’re almost there! I’d love to hear a bit about you. Is there anything you’d like me to know, or anything you’d like to share about our date?

Screening Choice

Preferred Deposit Choice

You acknowledge that you have reviewed my website and understand that a 20% deposit (50% for FMTY) is required to help prevent no-shows and mitigate associated risks.

Yes (Must be checked off to submit)