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Registration
Code

 

W
Gender
How do you identify?
What type of submissive are you?

Slave? Baby? Pet ... tell Us in your own words.
Location? Campus
Dungeon
Other
Desired Date
Session Schedule and Duration Early Morning 8.00-10:00Morning 10:00-12:00Afternoon 12:00-17:00Evening 17:00-22:00   30 min (spanking and foot worship only)60 min90 min2 hours
Experience

Tell Us all about it.

 

I am into Impact PlaySensory DeprivationLatex WorshipLeather WorshipFeminization

 

TramplingDildo TrainingAge PlayPet PlayObjectification
Sissy Training

 

PiercingTease and DenialPain SlutCum SlutExhibitionism

 

Other
Wardrobe

What do you fantasize your Mistress/Dom wearing?
Limits/Boundaries

Be clear and specific.

Do you have any health issues or physical limitations that may prevent you from serving in specific ways or require special accommodation? List any medications you are currently taking.

Be honest.

Why do you want to attend The Academy Domina?

Details please.
How did you hear about The Academy Domina?
Release of Liability
I want to Serve

All your information is safe and sent with secure eMail.

 

 

 

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