* Required Field

About You

Name: *
Age: *
Where did you find me? (Twitter,IG,Tryst,PD,Eccie,etc.) LIST HANDLE if any: *

Provider Reference (seen within last 3 months)

Reputable Reference profile link/email (NO phone number):

Newbie Screening *IF you haven't seen another provider in the last 3 months*

Selfie holding state issued Identification (MUST BE CLEAR, full name and DOB visible):

Contact Information

Email: *
Phone: *
Accept SMS/Text? *

Appointment Details

Preferred Dates/Times ("Availability" Page Contains Available Times): *
Preferred Length: *
Incall or Outcall: *
Do you understand my cancellation policy? *

**I am reference friendly and can ONLY vouch up to 90 Days from date of last session**

Without exception, I require all first-time gentlemen to be screened. This is not only for my safety and comfort but for yours as well. In respect to privacy, any information conveyed remains strictly confidential. (New hobbyists' image/identification is permanently deleted after screening is completed for discretion purposes)

If you wish not to provide anything, do not bother filling it out and waste my time and yours.

Thank you