NAME
Your E-mail (write your full e-mail address)
[If you want a response make sure it is correct]
LOCATION ?
MARITAL STATUS: Select one Single-in a relationship Single never Married Single divorced Separated Married Married-cheating
BDSM ORIENTATION: Pick the best choice slave sex-slave sub Switch (sub/Dom) Switch (Dom/sub) Masochistic -sub/slave Dominant
SEXUAL ORIENTATION: Select 1=Hetero to 10=Gay 1 Heterosexual 2-3 Mostly Hetero 4-5 BI-curious 6 BI sexual 7-8 BI sexual 9 BI Sexual/Gay 10 Gay/Lesbian
HEIGHT: ft Inches
WEIGHT: (tell the truth) Lb.
AGE:
MEASUREMENTS (in inches): chest waist hips
SMOKER NONSMOKER
CHILDREN NO CHILDREN
YAHOO IM (ID)
AOL AIM:

Domme's only need to fill out the above and tell me about yourself in the final comments box at the bottom of the page

Why do you want to serve me as "Pleasure slave" ?



A brief description of current sexual, Dom/sub or romantic relationships

A brief description of any limits you have in being "used" or serving.

Do you or have you often dreamed of being given as
payment or rented to others for their pleasure and enjoyment?
If so, give a brief discription of these thoughts and how you would serve.



Please make a Health statement addressing:
STD status, medical concerns, drug/alcohol usage, etc.
Are you currently on ANY prescribed medications.



Have you ever and /or are you currently taking ANY medication for
Depression, BI polar, Schizophrenia, Psychosis, Anxiety disorders
or neurosis ?



Have you ever and/or currently receiving any type of psychological
counseling for Depression, BI polar, Schizophrenia, Psychosis,
Anxiety disorders or neurosis ?



List any illegal drugs you have EVER taken in your lifetime.


Are there any physical limits which effect your mobility,
lifestyle or ability to serve ?


Please tell me about your personality.
Are you outgoing or shy type. Do you generally think the
glass is half full or half empty. Please be descriptive this
is the place to talk about yourself as a person.


Any other things or slutty behaviors I should know about
since I love a good slut ?



List any BDSM organizations, workshops, events attended
or member of, or books both fiction and nonfiction


Your web page: http://

Your Photos on-line: http://

Please share any experiences or final thoughts you
may have about yourself or desires?



When this form has been submitted correctly, you will be asked to confirm you wish to send; Do so.
You will then be taken back to the Magic's World front door.