Phone *

(###)

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Time Slot Requested

WEEKDAY: M-F (start 4:00pm or earlier) - $400

WEEKDAY NIGHT: M-F (start 5:00pm or later) - $450

WEEKEND: (start Sat/Sun from 8:00am - 10:00pm) - $500

COUPLES: Yoni Massage Instruction & Training - $1500

Date Requested *

MM

DD

YYYY

Estimated Start Time *

(Subject to availability)

Hour

Minute

Second

AM PM

Goal(s) for the Session *

Check all that apply

To release stress in a safe environment

I need touch or release without any reciprocation

To heal or overcome negative experience

To discover or test my body's potential for pleasure

To gain confidence or comfort with physical pleasure

I crave intimate touch but am not interested in dating

To recharge my libido and awaken my sensual self

My sensual self needs to be nurtured and handled by an expert

To train & instruct him how to give her a yoni massage