Booking Instructions

To book an in-person session, please copy and paste the form below and submit by e-mail to missmary416@protonmail.com.  By contacting me, you agree to the Protocol.  I usually respond by e-mail or text message the same day.

  • Name
  • E-mail address and/or cell phone number
  • Identify Verification:
    • Social media profile (i.e. LinkedIn, Facebook, Twitter, Instagram, Mastodon, etc.)
    • OR a recent, local service provider reference
    • OR current/valid government-issued photo ID
  • Tell me about yourself in a couple sentences
  • What type of experience are you looking for? 
  • How experienced are you with kink in general? How experienced are you with these kinks?
  • What personal/kink-related goals do you want to achieve together?
  • Requested date/time
  • Your location
  • Clear photo of your face (required)
  • Clothed full-body photo (optional)
  • How did you find me?  Where did you see my ad?  Who referred you?
  • Please mention anything that could limit what we do together.  I will keep this in mind when we are together to ensure safety.  This is only needed for health/safety reasons.  I do not discriminate on grounds of ability and will not use this to refuse a booking request.

Note: a $50 deposit is required to confirm all bookings.  I will contact you for the deposit once I accept your booking request.

I usually respond by e-mail or text message the same day.  By contacting me, you agree to the Protocol.  Please submit the requested information by e-mail to missmary416@protonmail.com.