(Please copy and paste into an email and return to Me, Mistress Jenna promptly for consideration)
My email address is:


All rude, disrespectful, script-like, or otherwise unwarranted inquires will be promptly disgarded.

Date/Time/How Long you desire to spend time at the mercy of your Mistress (List All)______________________

Name & last initial______________________

your Location___________________________________


Physical Description_____________________________________________________________ 

Financial Status and Employment Industry________________________________

Sexual Orientation__________________________

Medical Concerns/Physical Limitations_________________________________________________

Phobias/Abuse Issues__________________________________________


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? (choose all that apply & delete the rest, but understand that it is simply a request that is still ultimately up to Mistress Jenna Jones).
Business attire/teacher type
Corsets/waist cinchers
Lace Lingerie

Costume for Roleplay

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

Leather & Cashmere Knit (elbow length)
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_____________

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)

Roleplay Fantasy ____________
Sissy Slut Fantasy
Blackmail Roleplay/Financial Slave
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
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, Dungeon Slut (forced-bi fantasy)

8. Shaving as form of humiliation or done to please Mistress (yes or no, if yes choose): Genital area, Body _____________

9. Smoking Fetish (Mistress smokes) Yes or No: Human Ashtray Service/Smoking Fetish ______________

10. Puppy Training (yes or no, if yes choose): Caging, dog food eating, leash training, costuming, verbal command training

11. Pony Training (yes or no, if yes choose): Show pony, cart pony, riding pony)

12. Financial Servitude/Paypig/Blackmail Roleplay - your money looks better on ME (yes or no) ___________

13. Cuckolding/Key-Holding CB-3000/6000/The Curve - Long or short duration training


14. Sissy Play/Training: Crossdressing, Make-up, Panty Play, Feminine Attitude/Manner Tutorial (Forced or Playful) 90 minute minimum                 

15. Sissy Play Full Transformation (must commit to multiple sessions) waxing, outings & recommendations of fillers, dye/cut/hair extensions, etc.

16. Golden Showers - Consumption or Topical (Forced or Playful):                                   

16. Role Play (describe scenario):                                                                            

17. Forced Bi-FANTASY (describe):                                                                           

18. Strap on worship

19. Medical Play (enemas, physical exam, needle play/blood draw, urethral dilation)

20. Face Sitting, playful or asphyxiation/breath control (respectful/clothed only)

21. Body Worship (respectful/clothed ass worship, legs, feet, armpits, back)

22. Full Toilet (overnight sessions only)

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

(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 Jenna - the name more and more Dungeon-going fetishists and submissives trust!