Screening

* Required Field

About You

Name: *
Age: *
City: *
Ethnicity:

Contact Information

Phone: *
Accept SMS/Text:
Best Times to call: *
Email: *

Appointment Details

Preferred Dates/Times: *
Preferred Length/Session Type U Wish To Book: *
Any Likes or Dislikes for BDSM Appts Only:

References

Are you established suitor on TNA or P411 or TOB if so what’s your usernames or handles:
How did you hear about me: *

It is imperative to be congruent before our first escapade.

I value safety and security foremost, as well as the need for vigilante privacy.

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.