Name:

Age & Date of Birth:

E-mail Address

How did you find my site?

This is so I know how much travel time I need if I have to meet you to please you.

Area of Louisville you live in:

Please Choose One Fern Creek Fairdale Middletown Highview Okalona St. Matthews Highlands J-town PRP Shively Other on Dixie Hwy Portland Downtown Southern Indiana Mount Washington Other Bullitt County Other Please explain in comment

Relationship Type. Are you:

Please choose one Single In a relationship, so we must be secret In a relationship, but my other is okay with this Other Please explain in comment

Body Type:

Please select one Extremely Underweight Petite Below Average Average Athletic Above Average Curvy Where It Counts A Few Extra Pounds Many Extra Pounds

The next three questions (in green) are for statistical purposes only.

You do not need to fill them out if you do not feel comfortable doing so.

Which type of woman are you?

Please choose one Average/Normal Gothic Punk Vampire Redneck Straight Edge Prep Ghetto Girl I'm a good girl - Don't tell anybody A Freak Looking For Fun Who Cares? I'm horny and want Oral!

What race are you?

Please Choose One White Black Asian Native American Islander Hispanic Arabic Other

What is your religion?

Select One (not required) Christian/Catholic Jewish Muslim Wiccan Hindu Satanic Agnostic Other Not Religious

Do you like any of these other things used on you or done while you are receiving oral?

Hold Control for multiple selections Just the tongue, thanks Tongue and Hands Pop Rocks Finger Placement Alka-Seltzer Ice Cubes Altoids Electricity Other I will explain

Please explain your other here

If there is anything else that you believe that I need to know in order to serve you to the best of my ability and give you the pleasure that you both want and deserve, let me know in the box below. This includes any preferences you may have, any fetishes I need to know about, and any other specific things you would like me to do to your body to make you feel like the goddess that you are.

Fill in if necessary. I am here to please you.

Thank you for taking the time to submit this application.

Your requests will be processed as soon as possible.

All requests are answered to within a week.

I hope to get in touch with you soon.

Have a wonderful Day!