* Required Field

About You

Name: *
Age: *
Handle (P411, PD, Eccie, OH2):

References *ONLY if seen within 3 months*

Profile Link of Reputable Provider:

Newbie Screening *IF you have not seen anyone within last 3 months*

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

Contact Information

Phone: *
Accept SMS/Text: *

Appointment Details *Check schedule*

Preferred Dates/Times: *
Preferred Length: *
Incall or Outcall: *
Outcall Location:

**I am reference friendly and can ONLY vouch up to 90 Days from date of last session (I ask for references within 3 month so it is only fair) **

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.

Thank you