EmailMe Form - Request 2020

Name: *

Phone *

### - ### - ####

Email Address: *

Age: *

Gender: *

How did you find Me? *

What other Profession Dominatrix have you seen in the last 2 years? Give Professional name, email, and website information so I can contact them. If you have not seen anyone, you MUST let Me know. This is for reference checking. *

Experience Level: *

Do you have any medical conditions (mark all that apply)? *

What are your HARD LIMITS (mark all that apply)? *

Check ALL fetishes, interests and/or activities you have done in the past or would like to explore (mark all that apply): *

Pain Tolerance: *

Low

Medium

High

Superbly High

What are your feelings about marks? *

Can photographs being taking of you to be used on social media (for PR purposes)? *

Here is your chance to elaborate on what you're hoping for. However if you list anything from My HARD LIMITS LIST on My website, you will be denied. If we are a good fit I will respond. Be sure to check your spam folder. *

Make note that STRAP ON and PEGGING are illegal in the state of Massachusetts and is NOT offered by Mistress Jada Sinn.

Select length and type of session you are looking to have (for more information on what 'type of session' visit My website under BDSM Sessions).: *

Give Me 2 dates and time blocks you are looking to have your session. Example: If you are booking a 1 hour session, Tuesday June 2nd from 1-3pm or 5-7pm.

Session Hours
Monday - Thursday 1pm - 9pm
Friday 1pm - 7pm
Saturday - Sunday 1pm - 4pm *

I understand there is a required deposit of $50 to hold my session and/or will be used as a cancellation fee: *

Yes I understand

I can show proof of covid vaccinations. *

Yes I can send a copy of my covid vaccination card.

I understand that there will be NO nudity or sexual activity of Mistress Jada Sinn: *

Yes I understand

I understand that if our interests do not match up or I list an item from Your Hard Limits list, You may choose not to session with me. *

Yes I understand