Let’s playInterested in playing together? Fill out some info and I will be in touch with you if I find us to be a good fit. Name * First Name Last Name Email * Phone * (###) ### #### Preferred Method of Contact Text Text During Business Hours (9-5) Email Session Location Chinatown Prospect Lefferts Garden Midtown (bondage and impact only) Outcall (extra screening required) Screening * You must either give at least 1 pro-domme reference (Name, email, social media) or email a picture of yourself holding your ID to servejuniper@gmail.com once you submit this form. Reference ID Photo How did you hear about me? Twitter Instagram Tryst Other Session Interests * Please be thorough with your desires for a session. Thank you!