APPLICATION FORM
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​Copy and paste into an email and return to Me, Mistress Zoe promptly for consideration
My email address is: mistresszoered@protonmail.com
All rude, disrespectful, script-like, or otherwise unwarranted inquires will be promptly disgarded.
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Date/Time/How long you desire to spend time at the mercy of your Mistress__________________
Name & last initial______________________
your Location___________________________________
Age______
Physical Description_____________________________________________________________
Financial Status and Employment Industry________________________________
Medical Concerns/Physical Limitations_________________________________________________
Phobias/Abuse Issues__________________________________________
Eyeglasses/Contacts?_______________
Can you be marked? If so, for how long?_______________________
How often do you wish to visit with Me, (Mistress Zoe) Weekly? Bi-Weekly? Monthly? Bi-annually?_________________________________
Which attire do you prefer to see Me,(Mistress Zoe) adorned in? (choose all that apply & delete the rest, but understand that it is simply a request that is still ultimately up to Mistress Zoe Red).
Latex
Leather
PVC/Vinyl
Business attire/teacher type
Corsets/waist cinchers
Lace Lingerie
Costume for Roleplay
Casual
Hosiery: yes or no ____
Gloves (please choose all that apply and delete the rest)
Latex (wristlets or mid-arm)
Leather (wrist length-wristlets)
Leather Elbow Length Gauntlets
Bare arms/none
In regard to My demeanor during the session, that varies. Understand that My attitude is effected by your behavior.
Want Me sweet & playful? Be respectful.
The more open you are to new experiences you are, the more My sensual side with come out to encourage you.
What best describes your reason for visiting Me? (please choose all that apply and delete the rest)
Suffering to please your Goddess and amuse Her (with disregard to my desires)___________________
Exorcism of guilt_____________
Sensation/Endorphin
Trying new experiences
Other(please describe)_________________________
What would best describe the scenario you are seeking? (please choose all that interest you and delete the rest)
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Roleplay Fantasy (describe below)
Sissy Slut Fantasy
Humiliatrix/small penis humiliation
Strict, but nurturing
Masochistic Desires Needing to be Fulfilled
Sensual Tease
Other (describe)_______________________________________________________
How long/often have you been involved in BDSM activities?_________
Do you have any other skills outside slavery that you can offer Me? How will you please your Mistress other than Her required tribute? (For example: Ability to make dungeon furniture/toys, ability/willingness to buy gifts, photographer/videographer, additional Tribute, chauffeur, chiropracter/massage therapist) __________________________________________
Do you have references from other Dominants (local, national or international)?
If yes, link to their website/social media account/email: __________________
Are you involved in any fetish/BDSM organizations? If so, which?_______________________________________________________
ACTIVITIES I AM INTERESTED IN: (please choose all that apply and delete the rest)
1.Bondage: Leather, Rope, Bondage tape, Saran wrap, Chains/Cuffs
Method: Light, Inescapable, Extended, Mummification
2.Corporal Punishment: Flogging, Whipping, Strapping, Spanking, Caning, Birching, Hairbrush
3.Genital Torture: Whipping, Chastity, Kicking/Kneeing, Trampling, Stretching/Weights, Chastity, Light touch cigarette, Hot wax &/or ice, tight bondage/tying, manual squeezing/vise, slapping, piercing
4. Nipple Torture: Squeezing, piercing, hot wax &/or ice, clamps, cupping, tight bondage/tying &/or pulling
5. Foot Worship: Stocking/Pantyhose, Shoe/Boot/Heel, Bare Feet, Clean or Dirty Feet
Method: Boot Licker, Toe Kisser, Masseuse, Footstool, Rug, Foot Licker/Toe Sucker
Shoe Preference:
(choose all that apply and delete the rest)
Thigh-high Boots
Knee High Boots
High-heeled pumps (closed toe)
Peep-toe pumps or sandals (open toe)
Platform heels
Mules
Goth Boots
6. Humiliation Method: (describe) ______________________
7. Domestic Service Training (must be available with 2-8 hours notice. If yes, choose): Chambermaid, Chauffeur, Foot slave
8. Shaving as form of humiliation or done to please Mistress (yes or no, if yes choose): Genital area, Body _____________
9. Puppy Training (yes or no, if yes choose): Caging, dog food eating, leash training, costuming, verbal command training
10. Pony Training (yes or no, if yes choose): Show pony, cart pony, riding pony)
11. Chastity Training: Long or short duration training
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12a. Sissy Play/Training: Crossdressing, Make-up, Panty Play, Feminine Attitude/Manner Tutorial (Forced or Playful) 90 minute minimum
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12b. Sissy Play Full Transformation (must commit to multiple sessions) waxing, outings & recommendations of fillers, dye/cut/hair extensions, etc.
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13. Golden Showers - Consumption or Topical (Forced or Playful):
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14. Role Play (describe):
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15. Forced Bi-FANTASY (describe):
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​16. Strap on worship:
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17. Medical Play (enemas, physical exam, needle play/blood draw, urethral dilation):
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18. Face Sitting, playful or asphyxiation/breath control:
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19. Body Worship ass worship, legs, feet, armpits:​
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I love to entertain My guests at their expense. Are you comfortable being in a session/scene/show/party, with others for My benefit? If yes, choose:
Dominant Females
Dominant males
Submissive females
Submissive males
Photographers/Videographers
(Additional Tribute Required)
(Confidentiality is of supreme importance to your Mistress. I prefer to use Masks or other means to hide the identity of My submissives while filming/photographing)
All information is held in the strictest of confidence by Mistress Zoe - the name more and more Dungeon-going fetishists and submissives trust!