About myself:

Marital Status:      Have you ever been owned?            Sex               Age

single married divorced seperated     Never Collared / Owned Previously Collared / Owned Currently Collared / Owned    Female Male TV    18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49

 

Contacting me:

your e-mail address:   

Alternate contact method if no e-mail(explain:)

 Without an e-mail address, or an alternate contact method, we are unable to contact you and your 

 application will automatically be rejected.  If your situation doesn't permit a return contact, please

 contact us with the e-mail link below to explain your circumstances and how we might help you.

Describing myself briefly

Height           Weight           Hair Color               Eye Color

			4' - 7"
			4' - 8"
			4' - 9"
			4' - 10"
			4' - 11"
			5' - 0"
			5' - 1"
			5' - 2"
			5' - 3"
			5' - 4"
			5' - 5"
			5' - 6"
			5' - 7"
			5' - 8"
			5' - 9"
			5' - 10"
			5' - 11"
			6' - 0"
			6' - 1"
			6' - 2"
			6' - 3"
			6' - 4"
			6' - 5"


			
			  
			<90 lbs
			92 lbs
			95 lbs
			98 lbs
			100 lbs
			103 lbs
			105 lbs
			107 lbs
			109 lbs
			110 lbs
			112 lbs
			115 lbs
			117 lbs
			120 lbs
			122 lbs
			125 lbs
			128 lbs
			130 lbs
			133 lbs
			135 lbs
			137 lbs
			139 lbs
			140 lbs
			142 lbs
			145 lbs
			147 lbs
			140 lbs
			142 lbs
			145 lbs
			148 lbs
			150 lbs
			153 lbs
			155 lbs
			157 lbs
			159 lbs
			160 lbs
			162 lbs
			165 lbs
			167 lbs
			160 lbs
			162 lbs
			165 lbs
			168 lbs
			170 lbs
			175 lbs
			180 lbs
			185 lbs
			190 lbs
			195 lbs
			200 lbs
			205 lbs
			210 lbs
			220 lbs
			225 lbs
			>225
			  
			Auburn
			Black
			Blonde
			Brown
			Brunette
			Dark Brown
			Dirty Blonde
			Gray
			Red
			  
			Brown
			Blue
			Black
			Hazel
			Green
			

Dress Size    Bust/Bra Size          Scars/Tattoos

  
			0
			1
			2
			3
			4
			5
			6
			7
			8
			9
			10
			11
			12
			13
			14
			15
			16
			17
			18
			20
			        

Briefly explain any health issues or problems you may have:

Use this space to explain your experience in the lifestyle and/or any other information

you believe a potential Master or Dominant would find useful in considering you:

In your own words, tell us a bit about yourself and what it is that you are seeking.

Include information regarding your education level, current or usual occupation, hobbies

likes and dislikes.  If you have children discuss them here as well.

In What state or country do you live in:

If you live outside of the United States, are you able

 to relocate to the US or another country?  
			Yes
			NO
			

If given the opportunity, would you prefer a placement in a (check all that apply):

   Monogamous relationship       Polyamorous relationship

  An enclave                             No Preference

Are you able to move to a new location to be with your Dominant?  Yes No

If you are in a situation that you require an immediate placement (in less than 5 days),

please explain your circumstances and what caused this situation:

 Before submitting, please verify that you have answered all questions and have 

 included your e-mail address or alternate means of contact.  Normally we will respond

 to your application within 3 days.  If you have additional questions about your application

 or its status, you may contact us by email at  registry@asubmissivesjourney.com .

 Although not required, you may submit up to three (3) pictures of yourself by submitting

 them to registry@asubmissivesjourney.com , be sure to include your e-mail address

 with any pictures submitted so they can be properly matched to your application.

 Click the submit button to send your application, click reset to clear this information

 and cancel your application.