Dominants application for consideration

All information provided is subject to verification.  Any information provided and found to be inaccurate will be grounds for rejection of Your application.  Only those that are seriously into this lifestyle will be considered.  Should you have any questions, please feel free to e-mail Me. 
                   (All information is strictly confidential)

Lifestyle Choice    Your zip code   Employment status

     Master Dom Trainer Mentor Top                                             Employed Full Time Unemployed Retired Student

My Lifestyle experience level is

   Master with more than 10 yrs R/T in the Lifestyle Dominant with more than 10 years R/T experience in the lifestyle Dominant with more than 5 years real time experience Dominant with more than 3 years real time experience Dominant with more than 1 year real time experience Dominant with more than 6 months real time experience Dominant with brief real time encounters only Dominant Novice to real time, more than 1 year online experience Dominant - Online experience only, less than 6 months

    Sex          age (last birthday)   Race             Citizenship   

  Male Female      18 19 20 21 22 23 24 25-26 27-29 30-32 33-35 36-38 39-42 43-47 48-49 50-55 56-60 61-66 over 66 age                White Black Hispanic Asian Other          United States Canadian Mexican Other

 Current Marital Status      Poly        Have children?

   Single - Never Married Married Seperated Divorced (finalized) Widower              No Yes       Do you have children? No Children yes - not in my custody grown, not living at home

 A bit about You physically:

   Hair Color           My body build:      Weight:

  Black Brown Red Blonde Alternative Graying Bald                slender athletic average slightly overweight Overweright Obese        < 125 126-130 131-135 136-140 141-149 150-159 160-169 170-179 180-189 190 -210 211 -230 > 231

  Height (Feet/ Inches)

  4 Foot 5 Foot 6 Foot    0 in 1 in 2 in 3 in 4 in 5 in 6 in 7 in 8 in 9 ini 10 in 11 in         

Briefly describe what You are looking for in a relationship with a submissive or slave.  Additionally, describe the qualities or attributes that a submissive or slave should have for You.  If you are willing to train or accept a novice, please indicate.   

Briefly describe your experience in the lifestyle, including any limits, restrictions  or conditions that you would expect your submissive or slave to observe.

Factors or issues You believe will disqualify a girl from placement with you.

(note: this may be physical appearance, personality, habits, limits, traits, etc.)

To allow us to contact You, complete Your email address below.  You can expect to hear back from us within 5 days.  Enter Your e-mail address:

Age Range of girl you are seeking:   Any 18 19 20 21 22 23 25 27 29 30 32 34 36 38 40 45 50 55 >56   to  Any 18 19 20 21 22 23 24 25 26 27 28 29 30 32 34 36 38 40 42 44 46 50 55 57 60 65 > 65   years old.

Do you now have, or have you ever had a sexually transmitted disease?    No Yes (If yes, explain in the text box below)

Enter any additional information you believe is appropriate or relevant.

Prior to submitting this information please review for correctness and insure that You have not overlooked any requested information.  This information is strictly confidential and will only be used to asesss our potential for finding You a potential slave/submissive to be placed with You within the lifestyle. No information will be shared about you with anyone without your prior approval.  This information is subject to verification.  Additional information about you will be requested after you have been selected thru this initial screening process.   Should you have any questions, please contact CJ at the link indicated below.  If your information is successfully submitted, a confirmation page will appear after clicking on submit.