Book your appointment

I'm so excited to meet you! Please complete the screening form below to kick things off — or, if you prefer, email your desired date details and screening information to shaeashbury@protonmail.ch.

 
Name/alias: *
Name/alias:
Optional - Phone (note: I won't call or text you without prior notice)
Optional - Phone (note: I won't call or text you without prior notice)
No Google Voice/burner phones, please!
If you have our date details in mind, please include them — e.g. desired date/time, outfit requests, dinner, drinks or dessert.
Please enter your verification details below. Option A: P411: Your Preferred411 handle Option B. Provider references: Links (ad or website) and email address for two providers you have seen recently. Option C. Your employer info (company website or your LinkedIn, AND your company email address) Option D. An image of your driver’s license or passport and your business card (please email these images to me)
Acknowledgement *
I agree to your rates and policies. I agree to the Cancellation Policy: If you cancel on me within 12 hours before our booking, you will be required to pay half of the total donation. This fee will need to be paid before I will arrange a booking with you again.
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