Book Your Private Tantra Massage

* Required Field

About You

Name: *

Recent photo (sunglasses okay) or LinkedIn profile link: *

Public LinkedIn Profile URL.

Age: *

City / State of Residence: *

Occupation: *

A brief introduction of yourself (a few sentences is perfect): *

Have you ever received a sensual massage before? *

Are you traveling to Florida? If yes, please share dates. *

Yes

DATES you will be visiting FL or N/A:

Contact Information

Email: *

Phone: *

Accept SMS/Text: *

Preferred Communication Method: *

Appointment Details

Preferred Dates & Times (List 2-3 complete options): *

Which Experience Are You Booking?

How long of a session are you scheduling? *

Wardrobe Request(s): *

Do you need InCall? (I host): *

Do you need OutCall? (you host): *

What is your hosting address? Write NA if does not apply:

Any special preferences or requests to be aware of? *

Any boundaries or hard limits I should be aware of? *

Referral & Reviews Information

How did you find me?

If applicable, please share any professional references or memberships (TER, P411, TSMFE).

Please list the name and contact details of a previous provider who may serve as a reference. If unavailable, enter N/A.

Donations & Terms Depositis are REQUIRED

How would you like to pay for your DEPOSIT? *

Please provide the email or username associated with your preferred deposit method (credit card, PayPal, or Cash App). *

By submitting this form, you agree to & understand my booking, & cancelation policy, and all terms and conditions listed on my website. *

Yes, I agree.

I understand the importance of sexual health, transparency, and responsible conduct. *

Yes, I understand.

By submitting this request, you agree to all terms & conditions that are llsted on my website. You understand my cancelation policy & agree to adhere to all terms & conditions. *

Yes, I agree.

I understand discretion is essential and will be respected by both parties. *

Yes, I understand.

Thoughtful, complete requests are reviewed personally. Incomplete or rushed inquiries may not receive a response. *

Thank you, I understand.

Please complete your new client request to book an appointment with me. Write N/A if a question does not apply to you. Many Mahalos!