Addictive Domination - Slave Application

Slave Application

Fill this out honestly and completely if you wish to be considered 
for servitude to Goddess Jenna.

*Name: *Age: *Location: *Email address: *Phone number: *Marital status: *Relocatable: *Able to travel: *Education level: *Employment: *Income level: *Skills/talents: *Able to tribute: *I am available to serve most often at this time and on these days: *I have a webcam/digital camera: *Length of time available for sessions: *Toys, play clothing and bondage items you own: *Living situation (alone/with others but with own room/no privacy): *I have had experience serving: *In what capacity: *What happened to the last one: *Or the last several: *Do you have references for:
Financial Slavery:
Real Life Slavery/Service:
Online/Phone Slavery:
None of the above:
If so, provide them: *I LOVE to: *I am willing to: *I am unable to (with all apologies but I WAS instructed to be *Under what circumstances do you perform your best: