Contact ✦ Mistress Ruby Riots ✦ Professional Dominatrix ✦ SF Bay Area

REQUEST TO SUBMIT

In order to request a session, you must complete the form below. All other inquiries will be given low priority and may not be considered.

Check your spam folder if you do not hear from me within 24 hours.

Session Request Form

Your Name

Email Address

How Did You Find My Site?

Phone

Desired Session Length

Date Availability* (list 3 or more prospective dates and times you would like to book)

Interests

Tell me about your fantasies and turn-ons:

Boundaries

Tell me you turn-offs and limits (hard & soft). List relevant medical conditions, such as knee or back problems, STI's, asthma, heart conditions, medication (blood thinners), and allergies (latex, peanut):

Experience

Briefly describe your experience with BDSM/Kink. Have you hired a provider before?

Consent

References

Provide *two* recent references - must have their permission first

I acknowledge that I will need to send a deposit and screen in order to book a session. I will check my spam folder or directly email you if I do not hear back.

Thank you for submitting! Check your spam folder if you do not hear from me within 24 hours.