Thank you for your interest in connecting with me. Screening is required for all new Friends. Please take time to fill out all the required screening information so I may learn more about you before we meet. Once you have filled out all the required information correctly, I will then contact you to introduce myself to you.

Please note, all screening procedures are done so VERY DISCREETLY AND CONFIDENTIALLY for my safety and your comfort. All information you provide is for screening purposes only and WILL NOT be shared with Third Parties.

I am very much looking forward to making your acquaintance!

CONTACT INFORMATION (*Required)Please Fill Out All Information Below
Please Choose From One Of The Following Three Options Below For Screening Procedures
COMPANION REFERENCES
ONLINE SCREENING SERVICE
EMPLOYMENT INFORMATION (***At Least 4 Choices Required)
APPOINTMENT DETAILS

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