Apply to Serve Domina Yuki

Name:

Email:

Gender and pronouns:

Age:

Occupation:

your location:

Date of your most recent COVID vaccine:

Session type:
—Please choose an option—New and Orienting / Introductory Call – 30 minutesSocial Outing – 1 hour minIn-Person Domination Session – 2 hour minDomination and Dining / Session and a Meal – 4 hour minQuick Fix / Heavy Corporal Scene – 1 hourUnder Collective Rule / Double and Multiple Domme Session – 90 minutes minProviding for My Pleasure / Shopping Outing – $600 minimum

i am curious about / would like to be considered for:
Invisible Control / Discrete Public PlayThe Art of Being Second / CuckoldingOvernight or Extended Immersive ExperienceDevotional Servitude

Session location:
—Please choose an option—San Francisco (preferred)Oakland

Length of session:

List 3 available dates and time range of availability for each date:

Tell Me about yourself and what what draws you to the experience of surrendering to Me specifically:

Describe your BDSM interests as well as your experience level:

When you are serving Me well, how do you expect it to feel? Examples: helpless, vulnerable, useful, humiliated, desperate, nurtured, challenged, slutty

List 2 references of providers you have seen in the past two years. The following information is required: name, email AND website/URL of their current ad.
If you do not have references, type "no references" in the field below. Once a date and time for our appointment is set I will require a photo of your gov't issued ID next to your face or LinkedIn profile URL. This is a necessary precaution to ensure My safety and will not be used for any other purposes.

What do you identify as? Check all that apply:
devotee / servantfetishistgenuine submissivemasochistsissysubmissive role-playerother (fill in below)

your pain tolerance:

Can you be marked?
—Please choose an option—yesmarks lasting a few days OKno marks

For your safety, list all medical conditions and physical limitations. If you do not have any, write “none.”

How did you find my site?
BlueskyInternet Searchsanfranciscodominatrix.comTrystTwitter / XOther (fill in below)

Additional questions or comments (type none if you don't have any):

i consent to photos and videos of me being taken during the session for promotional and content purposes, including social media, fansites, and other platforms connected to Domina Yuki's business. i understand my face and any other identifying features will be obscured.
—Please choose an option—yes – photos onlyyes – photos and videosno

i have read and will abide by the late and cancellation policy as stated on the FAQs page:
—Please choose an option—yes

i understand that no sexual activity of any kind is offered or implied:
—Please choose an option—yes