APPLICATION FORM
(Please copy and paste into an email and return to Me, Mistress Jenna promptly for consideration)
My email address is: mistressjennajones@yahoo.com
Date/Time/Duration you are requesting an audience with your Mistress (List All)______________________
Name and last initial______________________
Location___________________________________
Age______
Physical Description_____________________________________________________________
Marital Status__________
Financial Status and Employment Industry________________________________
Sexual Orientation__________________________
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 Jenna) Weekly? Bi-Weekly? Monthly? Bi-annually?_________________________________
Which attire do you prefer to see Me,(Mistress Jenna) adorned in? (Please choose all that apply and delete the rest).
Latex dresses/skirts
Leather
PVC/Vinyl
Business attire/suits
Corsets/waist cinches
Lace Lingerie
Hosiery (please choose all that apply and delete the rest)
Cuban heel/seamed
Fishnet
Sheer black
Nude pantyhose
Thigh-High
Bare legs/none
Shoes (please 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
Gloves (please choose all that apply and delete the rest)
Latex (opera length)
Leather (wrist length)
Bare arms/none
In regard to My demeanor during the session, (i the submissive, would prefer Mistress to act:) (please choose all that apply and delete the rest)
Indifferent/Detached/Cold
Playful/Gentle/Fun
Sadistic/Aggressive
Imperious/Condescending/Critical
Spoiled/Never satisfied
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)
Schoolteacher/naughty boy
Interrogator/prisoner
Female pimp/man-whore
Riding Mistress/ponyboy
Blackmailer/financial slave
Humiliatrix/small penis man
Mommy/Little boy
Other (please 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, photgrapher/videographer, additional Tribute, chauffeur, chiropracter/massage therapist) __________________________________________
Do you have references from other Dommes (local,national or international)?__________________
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, tight bondage/tying, manual squeezing/vise, slapping
4. 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
5.Humiliation
Method: (please describe)____________________________________
6.Domestic Service Training (must be available with 2-8 hours notice. If yes, choose): Chambermaid, Chauffeur, Foot slave, Dungeon Slut (forced-bi fantasy)
7.Shaving as form of humiliation or to please Mistress (yes or no, if yes choose): Genital area, Body_____________
8.Smoking Fetish (Mistress smokes) Yes or No: Human Ashtray Service______________
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.Financial slave/Paypig/Blackmail (yes or no)___________
12.Cuckolding/Key-Holding CB-3000/6000/The Curve Long or short duration training
13. Sissy Play/Training: Crossdressing, Make-up, Panty Play, Feminine Attitude/Manner Tutorial (Forced or Playful)
14. Golden Showers: Consumption or Topical (Forced or Playful)
15. Role Play (Describ scenario):
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
(Confidentiality is of supreme importance to your Mistress. I may use Masks to hide your identity).
All information held in the strictest of confidence by Mistress Jenna. The name more and more Dungeon-going fetishists and submissives trust!