Reserve Your Date

Let’s explore these sweet indulgences…

For your convenience, you may complete the booking form below to reserve your date in my calendar.

If you prefer to book via text (sms) or email, you may contact me at:

Please include the following information in your initial text or email message:

Name, Age, Desired Length of Booking, Preferred Date & Time. If we have not met previously, please include a reference from a past provider you have seen, as well as their contact info.

Please introduce yourself & briefly describe your ideal experience.

Contact Information

Full Name *

Email Address *

Phone *

Preferred Method of Contact *

Screening Information

Please select one of the following options for screening:

Preferred Method of Screening

Photo ID Verification

Upload Selfie + Photo ID

No file chosen

Please upload a selfie with your Photo ID clearly visible

Upload Photo ID

No file chosen

Please upload a separate photo of your Photo ID clearly visible. (Driver’s License, Passport, Military ID, Health Card)

LinkedIn/Proof of EmploymentPlease choose either the LinkedIn or Proof of Employment option below:

LinkedIn Profile URL

Upload Screenshot

No file chosen

Please upload a screenshot of a LOGGED IN view of your LinkedIn Profile.

Your Company's WebsitePlease share a link of your profile on your company’s website.

Upload Screenshot

No file chosen

Please upload a screenshot of a work paystub/letterhead which would correspond with your company name & position.

ReferencesPlease provide at least two references from a provider you have met with within the last year.

1st Provider's Name

1st Provider's Email Address

1st Provider's Phone*If applicable

1st Provider's Website URL*If no website is available, please list Twitter/X URL or the provider’s Ad URL instead

Second Referene

2nd Provider's Name

2nd Provider's Email Address

2nd Provider's Phone*If applicable

2nd Provider's Website*If no website is available, please list Twitter/X URL or the provider’s Ad URL instead

Your Reservation

Preferred Date *

Month

Day

Year

Location *

Street Address

Apartment, suite, etc

City

State/Province

ZIP / Postal Code

Country

Type of Date *

Date Options *Please select any additional options you may wish to enjoy during our date:

Duo Dates

Please describe your ideal duo date:

Couples DateIf requesting a date for yourself & your partner, I will require the following information:

Partner's Name

Partner's Email Address

Partner's Photo ID

No file chosen

Please upload your partner’s selfie with the Photo ID clearly visible

Please describe your ideal Couples Date:

Introduction – Please briefly tell me about yourself & your ideal date. *