Book Your Private Session with Augustina

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About You

Name: *

Photo of Yourself (Professional/Clean of your face) *Required & PRIVATE: *

Age: *

What is your gender? *

Relationship Status:

What State/City do you reside? *

Ethnicity: *

Occupation: *

Have you ever received a sensual massage before? *

Do you have an STI/STD? This includes genital warts and herpes. Be honest, this does not mean I will not see you. We need to be safe.

Do you have allergies to coconut oil? *

Yes

Any recent injuries or surgeries in the last 2 years?

Any medications you are currently taking?

Are you a Traveler to FL? *

Yes

List the DATES you will be visiting FL or N/A:

Are you a frequent traveler to the area? How many times per year do you visit? Work or Pleasure?

Would you be interested in Flying Me To You after seeing me in FL?

Yes

Maybe

Contact Information

Email: *

Phone: *

Accept SMS/Text: *

How do you prefer that I confirm your experience with me? Email or Text: *

Appointment Details

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

Which Experience Are You Booking? *

How long of a session are you scheduling? *

Choose Your Extra's (Add to your session): *

Would you like to add additional TIME to your session?

What location do you request service? (My home location is S.Orlando/Kissimmee- I am happy to travel to you): *

Wardrobe Request(s): *

Do you need InCall? (I host): *

Do you need OutCall? (you host): *

What is your hosting address? or N/A List gate codes, building numbers and detailed instructions on locating you. *If it takes me more than 5 minutes to locate you & park, there is an additional donation of 50 requried at the beginning of your session.

Special Requests that you would like for me to consider. Please be specific. This is kept private & I promise not to judge you in anyway. Type N/A if there is nothing: *

List Your Hard No's -: *

Referral & Reviews Information

How did you find me?

Are you a TER Member? List your TER ID or N/A:

Are you a Preferred 411 Admirer? If so, please list your screen name or N/A:

Provide the contact information & name of a previous provider that will provide you a refrence. Otherwise, type N/A:

Are you on Tryst? List your screen name or N/A:

Are you a member of TSMFE? List your screen name or N/A:

Donations & Terms Depositis are REQUIRED

How would you like to pay for your DEPOSIT? *

How would you like to pay the REMAINING of your experience (IN-PERSON): *

Credit Card Clients -Email for invoice to pay DEPOSIT:

Paypal Clients - LIST YOUR PAYPAL NAME:

CashAPP Clients - LIST YOUR CASHAPP NAME:

Did you pay your scheduling deposit? *

Do you agree to show up to your appointment with me? *

Yes, absolutely. I am really excited.

I'm not sure. My schedule changes a lot.

Do you agree to be a gentleman and not text me vulgar, graphic, inappropriate messages? *

Do you agree to schedule a texting, virtual, or girlfriend experience package if you would like to spend more time visiting on the phone? See my FAQ page. *

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

By submitting this form, you agree to & understand my booking, & cancelation policy, and all terms and conditions listed on my website. You can not proceed forward with me, if you do NOT. *

Yes