FULL NAME for Screening Purposes (REQUIRED) *

First Name

Last Name

Birthdate (Age 18+ Only) *

MM

DD

YYYY

Preferred Contact Method

Email ONLY

Text ONLY

Any method my Goddess desires.

Have you received the COVID-19 vaccine?

Yes, I have received the COVID-19 vaccine.

No, I have NOT received the COVID-19 vaccine.

Desired Session Location *

The Goddess Girls' Private Dungeon in Pompano Beach, FL

Studio 1A in West Palm Beach, Florida (Add +$250 Rental Fee)

Outcall in South Florida (Add +$200 Travel Fee)

Outcall in Central Florida (Travel Rates Vary)

Outcall to Your City (Travel Rates Apply)

Are you local or visiting? *

I live in south Florida year round.

I live in south Florida for part of the year.

I am not local, but I visit south Florida often.

I am not local, and I am only visiting south Florida for a few days.

I live in central Florida, including Tampa and Orlando.

None of the above.

Interest in BDSM

I occasionally dip my toes into the world of my fetish/BDSM. I think about it once in a while.

I frequently crave fetish/BDSM interactions. I have often thought about serving a dominant Goddess.

BDSM is a long-standing passion for me, and I practice my fetish(es) as often as my life allows.

Level of Experience *

No prior experience.

Novice.

Intermediate.

Very Experienced.

Have you ever served a professional Domme? *

No.

Yes.

How would you describe yourself? *

Submissive - LEAD ME. I submit fully to your will and guidance.

Fetishist - TEASE ME. Tempt me down the rabbit hole of my perversions.

Slave - OWN ME. I surrender all that I am and may ever be to you.

Masochist - HURT ME. My suffering is your ecstasy.

Servant - USE ME. My life's purpose is in your hands, awaiting direction.

Sissy - DRESS ME. Make me your sweet little doll.

Little - MOTHER ME. Nurture and protect me from the big bad world.

Curious - TEACH ME. I want my first taste of the unknown.

Which demeanor would you prefer in your Goddess?

Check as many as you would like.

Strict

Sensual

Sadistic

Humiliating

Teasing

Merciless

Manipulative

Playful

Adorable

Fun

Wild

Gentle

Demanding

Wholesome

Vulgar

Which of a Goddess's assets excite you the most?

Her bust

Her butt

Her legs

Her feet

Her shoes

Her clothes

Her voice

Her eyes

Her mind

Desired Level of Pain: *

No pain, please.

Light.

Moderate.

Heavy.

Limits for Bodily Marks:

Strictly zero marks or bodily evidence whatsoever.

Light marks are acceptable.

Only marks concealed under daywear.

Moderate marks are acceptable.

My Goddess is an artist, and I shall be her canvas.

Which of the Goddess Girls would you prefer: *

Mistress Mercy

Mistress Minx

Miss Kay Lynx

Diosa Bella Banx

Master Trinity

I'm not sure, please help me to choose the best fit.

I'm not worthy of choosing. Let the Goddesses decide my fate.

Will any Sisters in Domination, Apprentices, or Submissives join us?

Pro Domme: Miss Monica Wolf (local)

Pro Domme: Mistress Rogue from Tampa, FL

Pro Switch: Princess Mia from Tampa, FL

Pro Submissive: Miss Kayla (local)

Thank you, but I must decline, for the Goddess Girls satisfy my every need.

Check all activities you would like us to include in your session: *

Ageplay: Adult Baby (Ages 0-3)

Ageplay: Little (Ages 3-10)

Ageplay: Middle (Ages 10-17)

Ageplay: Other (explain below)

Abandonment / Ignoring

Bastinado

Beat Down

Begging

Being Forced to Submit

Blindfolds

Bondage (Light)

Bondage (Heavy)

Boxing / Wrestling

Breath Play

Caning

CBT / Ball Busting

CFnm (Clothed Female, Naked Male)

Collar & Leash

Corporal Punishment

Crossdressing

Diaper Fetish

Domestic Service

Financial Domination

Flogging

Foot Fetish / Foot Worship

Forced Feminization

Forced Fitness / Exercise

Forced Intoxication (legal only)

Humiliation (Light: make me blush)

Humiliation (Heavy: make me cry)

Latex Worship (Add +$100 to tribute)

Leg Worship

Male Chastity

Medical Play

Mummification / Cling Wrap

Nipple Torture

Over the Knee Spanking

Pantyhose Worship

Pet Play

Polaroid Photos of Session (Add +$25 to tribute)

Rope Bondage

Scratching

Sensory Deprivation

Sensual Domination

Sissification

Slut Training

Smoking Fetish

Sock Worship

Sounding

Sploshing

Stockings Worship

Tease & Denial

Tickling

Underarm Worship

Watersports / Golden

Whipping

Other (explain below)

Are you willing to perform domestic service for the Goddess Girls, such as housework or light cleaning?

Yes, and it excites me to serve a Goddess in such a way.

Yes, but only if the Goddess Girls demand it.

No, I am not interested in performing any domestic service.

By submitting this application, I understand that it is not a guarantee of acceptance by the Goddess Girls. I also understand that the Goddess Girls are NOT escorts and do NOT provide sexual services.

Yes, Goddess, I understand. I live to serve and patiently await your response.

No, I am a needy, demanding, disobedient bitch who cannot be trained.

To separate the dreamers from the doers, a non-refundable application fee of $100 is REQUIRED for all extended and travel sessions. If your session request is accepted, the $100 fee will count towards your deposit and total tribute. While we appreciate tips and gifts, we kindly ask that you keep the amount to exactly $100 for this form.

IMPORTANT: You MUST leave the payment notes *blank* or simply write "Thank you." Any naughty language is NOT allowed and can result in a ban of your payment account.

I do not want to send the required fee. Please discard my application. I am unworthy.

I have sent $100 on Cash App to $TheGoddessGirls

I have sent $100 via Amazon Gift Card to Mercy@TheGoddessGirls.com

I have sent $100 via Visa Gift Card, purchased with cash or credit, to Mercy@TheGoddessGirls.com

I have sent $100 via Credit or Debit via Wishtender.com/MistressMercy

I need to send BTC, ETH, or USDC, please send me your cryptocurrency wallet address.