EmailMe Form - ~Lady A~ Slave & Sissy Application 2013-2014

Name *

First Last

Age? Must be 21 or over. *

Email *

Phone

### - ### - ####

Your Picture *

What other future Slave Roles are you interested in? *

Would you like to apply for the Winter/Spring 2014 Sissy Pageant? *

Yes

No

Maybe

What training are you interested in? Must choose one, check all that apply. Sessions are $2.00 min USD ($2.50 for international) *

Are you willing to complete tasks and assignments given to you by Lady A? *

Yes

No

How often would you like to recieve training? *

I agree to fully submit to Lady A because she knows what's best for me. The mistress is always right. *

I agree.