MistressElliot.com: Submit an Application
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A Kansas City Dominatrix

Application Form

Mistress Elliot requires you to answer every question. You will receive an error message if you leave any blank.





















Check the interests you would like to include in your session:






































Don't worry if a fetish or interest of yours is not covered above, please include it in your description below.



What are your hard limits (acts or punishments you absolutely do not want during your session)?


Describe what you might imagine for your visit with Mistress Elliot. Include as much detail and specifics as you can. While the Mistress will NOT use your description as a script, she WILL use it to tailor your session to meet your needs:


It is a requirement that you inform Mistress Elliot of any relevant physical, medical or emotional issues or conditions that you have. The Mistress needs to know before your session to avoid any problems:


YOU MUST COMPLETE ALL FIELDS!
DO NOT LEAVE ANY FIELDS EMPTY.