{"id":89,"date":"2016-05-28T01:43:12","date_gmt":"2016-05-28T01:43:12","guid":{"rendered":"http:\/\/www.sxysadist.com\/?page_id=89"},"modified":"2023-01-23T08:35:28","modified_gmt":"2023-01-23T13:35:28","slug":"application-form","status":"publish","type":"page","link":"https:\/\/www.sxysadist.com\/MainSite\/?page_id=89","title":{"rendered":"Application Form"},"content":{"rendered":"\n\n<style id=\"wpforms-css-vars-15303\">\n\t\t\t\t#wpforms-15303 {\n\t\t\t\t--wpforms-field-size-input-height: 43px;\n--wpforms-field-size-input-spacing: 15px;\n--wpforms-field-size-font-size: 16px;\n--wpforms-field-size-line-height: 19px;\n--wpforms-field-size-padding-h: 14px;\n--wpforms-field-size-checkbox-size: 16px;\n--wpforms-field-size-sublabel-spacing: 5px;\n--wpforms-field-size-icon-size: 1;\n--wpforms-label-size-font-size: 16px;\n--wpforms-label-size-line-height: 19px;\n--wpforms-label-size-sublabel-font-size: 14px;\n--wpforms-label-size-sublabel-line-height: 17px;\n--wpforms-button-size-font-size: 17px;\n--wpforms-button-size-height: 41px;\n--wpforms-button-size-padding-h: 15px;\n--wpforms-button-size-margin-top: 10px;\n--wpforms-container-shadow-size-box-shadow: none;\n\t\t\t}\n\t\t\t<\/style><div class=\"wpforms-container wpforms-container-full wpforms-render-modern\" id=\"wpforms-15303\"><form id=\"wpforms-form-15303\" class=\"wpforms-validate wpforms-form wpforms-ajax-form\" data-formid=\"15303\" method=\"post\" enctype=\"multipart\/form-data\" action=\"\/MainSite\/index.php?rest_route=%2Fwp%2Fv2%2Fpages%2F89\" data-token=\"9ebd1e9df6485893acfcc885bec84dab\" data-token-time=\"1792906516\"><noscript class=\"wpforms-error-noscript\">Please enable JavaScript in your browser to complete this form.<\/noscript><div id=\"wpforms-error-noscript\" style=\"display: none;\">Please enable JavaScript in your browser to complete this form.<\/div><div class=\"wpforms-page-indicator progress\" data-indicator=\"progress\" data-indicator-color=\"#72b239\" data-scroll=\"1\" role=\"progressbar\" aria-valuenow=\"1\" aria-valuemin=\"1\" aria-valuemax=\"5\" tabindex=\"-1\"><span class=\"wpforms-page-indicator-page-title\" ><\/span><span class=\"wpforms-page-indicator-page-title-sep\" style=\"display:none;\"> - <\/span><span class=\"wpforms-page-indicator-steps\">Step <span class=\"wpforms-page-indicator-steps-current\">1<\/span> of 5<\/span><div class=\"wpforms-page-indicator-page-progress-wrap\"><div class=\"wpforms-page-indicator-page-progress\" style=\"width:20%;background-color:#72b239\"><\/div><\/div><\/div><div class=\"wpforms-field-container\"><div class=\"wpforms-page wpforms-page-1 \" data-page=\"1\"><div id=\"wpforms-15303-field_11-container\" class=\"wpforms-field wpforms-field-pagebreak\" data-field-type=\"pagebreak\" data-field-id=\"11\"><\/div><div id=\"wpforms-15303-field_1-container\" class=\"wpforms-field wpforms-field-text\" data-field-type=\"text\" data-field-id=\"1\"><label class=\"wpforms-field-label\" for=\"wpforms-15303-field_1\">First Name \/ preferred name (if applicable) <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><input type=\"text\" id=\"wpforms-15303-field_1\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][1]\" aria-errormessage=\"wpforms-15303-field_1-error\" required><\/div><div id=\"wpforms-15303-field_2-container\" class=\"wpforms-field wpforms-field-email\" data-field-type=\"email\" data-field-id=\"2\"><label class=\"wpforms-field-label\" for=\"wpforms-15303-field_2\">Email (please type carefully) <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><input type=\"email\" id=\"wpforms-15303-field_2\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][2]\" spellcheck=\"false\" aria-errormessage=\"wpforms-15303-field_2-error\" required><\/div><div id=\"wpforms-15303-field_3-container\" class=\"wpforms-field wpforms-field-phone\" data-field-type=\"phone\" data-field-id=\"3\"><label class=\"wpforms-field-label\" for=\"wpforms-15303-field_3\">Phone (if possible)<\/label><input type=\"tel\" id=\"wpforms-15303-field_3\" class=\"wpforms-field-medium wpforms-smart-phone-field\" data-rule-smart-phone-field=\"true\" name=\"wpforms[fields][3]\" aria-label=\"Phone (if possible)\" aria-errormessage=\"wpforms-15303-field_3-error\" ><\/div><div id=\"wpforms-15303-field_4-container\" class=\"wpforms-field wpforms-field-select wpforms-field-select-style-classic\" data-field-type=\"select\" data-field-id=\"4\"><label class=\"wpforms-field-label\" for=\"wpforms-15303-field_4\">Do you prefer phone, text or email communication?<\/label><select id=\"wpforms-15303-field_4\" class=\"wpforms-field-medium\" name=\"wpforms[fields][4]\"><option value=\"-- Please Choose --\"  class=\"choice-4 depth-1\"  >-- Please Choose --<\/option><option value=\"Text\"  class=\"choice-2 depth-1\"  >Text<\/option><option value=\"Email\"  class=\"choice-3 depth-1\"  >Email<\/option><\/select><\/div><div id=\"wpforms-15303-field_5-container\" class=\"wpforms-field wpforms-field-text\" data-field-type=\"text\" data-field-id=\"5\"><label class=\"wpforms-field-label\" for=\"wpforms-15303-field_5\">City \/ State <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><input type=\"text\" id=\"wpforms-15303-field_5\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][5]\" aria-errormessage=\"wpforms-15303-field_5-error\" required><\/div><div id=\"wpforms-15303-field_7-container\" class=\"wpforms-field wpforms-field-number\" data-field-type=\"number\" data-field-id=\"7\"><label class=\"wpforms-field-label\" for=\"wpforms-15303-field_7\">Age<\/label><input type=\"number\" id=\"wpforms-15303-field_7\" class=\"wpforms-field-small\" name=\"wpforms[fields][7]\" placeholder=\"21+\" step=\"any\" aria-errormessage=\"wpforms-15303-field_7-error\" ><\/div><div id=\"wpforms-15303-field_44-container\" class=\"wpforms-field wpforms-field-layout\" data-field-type=\"layout\" data-field-id=\"44\"><div class=\"wpforms-field-layout-columns wpforms-field-layout-preset-50-50\"><div class=\"wpforms-layout-column wpforms-layout-column-50\" ><div id=\"wpforms-15303-field_8-container\" class=\"wpforms-field wpforms-field-text\" data-field-type=\"text\" data-field-id=\"8\"><label class=\"wpforms-field-label\" for=\"wpforms-15303-field_8\">Your Height (ex 5&#039;9&quot;) <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><input type=\"text\" id=\"wpforms-15303-field_8\" class=\"wpforms-field-small wpforms-field-required\" name=\"wpforms[fields][8]\" aria-errormessage=\"wpforms-15303-field_8-error\" required><\/div><\/div><div class=\"wpforms-layout-column wpforms-layout-column-50\" ><div id=\"wpforms-15303-field_43-container\" class=\"wpforms-field wpforms-field-text\" data-field-type=\"text\" data-field-id=\"43\"><label class=\"wpforms-field-label\" for=\"wpforms-15303-field_43\">Weight <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><input type=\"text\" id=\"wpforms-15303-field_43\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][43]\" aria-errormessage=\"wpforms-15303-field_43-error\" required><\/div><\/div><\/div><\/div><div id=\"wpforms-15303-field_9-container\" class=\"wpforms-field wpforms-field-select wpforms-field-select-style-classic\" data-field-type=\"select\" data-field-id=\"9\"><label class=\"wpforms-field-label\" for=\"wpforms-15303-field_9\">Gender Identity<\/label><select id=\"wpforms-15303-field_9\" class=\"wpforms-field-small\" name=\"wpforms[fields][9]\"><option value=\"-- Please Choose --\"  class=\"choice-1 depth-1\"  >-- Please Choose --<\/option><option value=\"Male\"  class=\"choice-2 depth-1\"  >Male<\/option><option value=\"Female\"  class=\"choice-3 depth-1\"  >Female<\/option><option value=\"Nonbinary\"  class=\"choice-4 depth-1\"  >Nonbinary<\/option><\/select><\/div><div id=\"wpforms-15303-field_10-container\" class=\"wpforms-field wpforms-field-pagebreak\" data-field-type=\"pagebreak\" data-field-id=\"10\"><div class=\"wpforms-clear wpforms-pagebreak-left\"><span class=\"wpforms-page-button-group\"><button class=\"wpforms-page-button wpforms-page-next wpforms-disabled\"\n\t\t\t\t\tdata-action=\"next\" data-page=\"1\" data-formid=\"15303\" aria-disabled=\"true\" aria-describedby=\"wpforms-error-noscript\">Next<\/button><img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/www.sxysadist.com\/MainSite\/wp-content\/plugins\/wpforms\/assets\/images\/submit-spin.svg\" class=\"wpforms-page-button-spinner\" style=\"display: none;\" width=\"26\" height=\"26\" alt=\"Loading\"><\/span><\/div><\/div><\/div><div class=\"wpforms-page wpforms-page-2  \" data-page=\"2\" style=\"display:none;\"><div id=\"wpforms-15303-field_13-container\" class=\"wpforms-field wpforms-field-select wpforms-field-select-style-classic\" data-field-type=\"select\" data-field-id=\"13\"><label class=\"wpforms-field-label\" for=\"wpforms-15303-field_13\">Which of these do you identify with the most?<\/label><select id=\"wpforms-15303-field_13\" class=\"wpforms-field-medium\" name=\"wpforms[fields][13]\"><option value=\"-- Please Choose --\"  class=\"choice-10 depth-1\"  >-- Please Choose --<\/option><option value=\"Dominant\"  class=\"choice-8 depth-1\"  >Dominant<\/option><option value=\"Fetishist\"  class=\"choice-3 depth-1\"  >Fetishist<\/option><option value=\"Masochist\"  class=\"choice-7 depth-1\"  >Masochist<\/option><option value=\"Sissy\"  class=\"choice-5 depth-1\"  >Sissy<\/option><option value=\"Slave\"  class=\"choice-2 depth-1\"  >Slave<\/option><option value=\"Slut\"  class=\"choice-6 depth-1\"  >Slut<\/option><option value=\"Submissive\"  class=\"choice-1 depth-1\"  >Submissive<\/option><option value=\"Pet\"  class=\"choice-4 depth-1\"  >Pet<\/option><option value=\"Other\"  class=\"choice-9 depth-1\"  >Other<\/option><\/select><\/div><div id=\"wpforms-15303-field_14-container\" class=\"wpforms-field wpforms-field-textarea\" data-field-type=\"textarea\" data-field-id=\"14\"><label class=\"wpforms-field-label\" for=\"wpforms-15303-field_14\">Health &amp; emotional issues: <\/label><textarea id=\"wpforms-15303-field_14\" class=\"wpforms-field-medium\" name=\"wpforms[fields][14]\" placeholder=\"How is your health in general? Please list past or recent chronic conditions, injuries, disabilities, or phobias. Also list any especially sensitive areas and medications that could impact our session. Please also inform me of any emotional issues that you feel may cause a potential trigger or bad reaction: (rape, incest, child abuse, race concerns) or anything that I should be aware of that is a potential problem for you in a scene emotionally. This info is strictly confidential to insure your well being &amp; safety. \" aria-errormessage=\"wpforms-15303-field_14-error\" ><\/textarea><\/div><div id=\"wpforms-15303-field_47-container\" class=\"wpforms-field wpforms-field-checkbox\" data-field-type=\"checkbox\" data-field-id=\"47\"><fieldset><legend class=\"wpforms-field-label wpforms-label-hide\" aria-hidden=\"false\">Allergies <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/legend><ul id=\"wpforms-15303-field_47\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"checkbox\" id=\"wpforms-15303-field_47_1\" name=\"wpforms[fields][47][]\" value=\"I am not allergic to either cats or latex products.\" aria-errormessage=\"wpforms-15303-field_47_1-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-15303-field_47_1\">I am not allergic to either cats or latex products.<\/label><\/li><\/ul><\/fieldset><\/div><div id=\"wpforms-15303-field_15-container\" class=\"wpforms-field wpforms-field-textarea\" data-field-type=\"textarea\" data-field-id=\"15\"><label class=\"wpforms-field-label\" for=\"wpforms-15303-field_15\">Describe your BDSM or related experience thus far (if any). <\/label><textarea id=\"wpforms-15303-field_15\" class=\"wpforms-field-medium\" name=\"wpforms[fields][15]\" placeholder=\"How much experience have you had, and with whom? What was your favorite and \/ or worst play session and why? What insights can you share with me about what makes you tick?\" aria-errormessage=\"wpforms-15303-field_15-error\" ><\/textarea><\/div><div id=\"wpforms-15303-field_16-container\" class=\"wpforms-field wpforms-field-textarea\" data-field-type=\"textarea\" data-field-id=\"16\"><label class=\"wpforms-field-label\" for=\"wpforms-15303-field_16\">References?<\/label><textarea id=\"wpforms-15303-field_16\" class=\"wpforms-field-medium\" name=\"wpforms[fields][16]\" placeholder=\"If you have you seen another Dominatrix or BDSM service provider, please provide her website or contact info. \" aria-errormessage=\"wpforms-15303-field_16-error\" ><\/textarea><\/div><div id=\"wpforms-15303-field_17-container\" class=\"wpforms-field wpforms-field-pagebreak\" data-field-type=\"pagebreak\" data-field-id=\"17\"><div class=\"wpforms-clear wpforms-pagebreak-left\"><span class=\"wpforms-page-button-group\"><button class=\"wpforms-page-button wpforms-page-next wpforms-disabled\"\n\t\t\t\t\tdata-action=\"next\" data-page=\"2\" data-formid=\"15303\" aria-disabled=\"true\" aria-describedby=\"wpforms-error-noscript\">Next<\/button><img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/www.sxysadist.com\/MainSite\/wp-content\/plugins\/wpforms\/assets\/images\/submit-spin.svg\" class=\"wpforms-page-button-spinner\" style=\"display: none;\" width=\"26\" height=\"26\" alt=\"Loading\"><\/span><\/div><\/div><\/div><div class=\"wpforms-page wpforms-page-3  \" data-page=\"3\" style=\"display:none;\">\t\t<div id=\"wpforms-15303-field_6-container\"\n\t\t\tclass=\"wpforms-field wpforms-field-text\"\n\t\t\tdata-field-type=\"text\"\n\t\t\tdata-field-id=\"6\"\n\t\t\t>\n\t\t\t<label class=\"wpforms-field-label\" for=\"wpforms-15303-field_6\" >specific is are<\/label>\n\t\t\t<input type=\"text\" id=\"wpforms-15303-field_6\" class=\"wpforms-field-medium\" name=\"wpforms[fields][6]\" >\n\t\t<\/div>\n\t\t<div id=\"wpforms-15303-field_18-container\" class=\"wpforms-field wpforms-field-textarea\" data-field-type=\"textarea\" data-field-id=\"18\"><label class=\"wpforms-field-label\" for=\"wpforms-15303-field_18\">Do you own any of your own gear that you wish to bring with you or have used on you? <\/label><textarea id=\"wpforms-15303-field_18\" class=\"wpforms-field-medium\" name=\"wpforms[fields][18]\" placeholder=\"(cross dressing clothing, bondage gear, specific fetish items, etc) Please give me an idea what you have and feel free to email pics to me at Mistress@SxySadist.com\" aria-errormessage=\"wpforms-15303-field_18-error\" ><\/textarea><\/div><div id=\"wpforms-15303-field_19-container\" class=\"wpforms-field wpforms-field-select wpforms-field-select-style-classic\" data-field-type=\"select\" data-field-id=\"19\"><label class=\"wpforms-field-label\" for=\"wpforms-15303-field_19\">What is the most important feeling or state of being you want to experience either during or as a result of our encounter? Choose from the themes below or write your own. Please be as specific as possible. <\/label><select id=\"wpforms-15303-field_19\" class=\"wpforms-field-medium\" name=\"wpforms[fields][19]\"><option value=\"-- Please Choose --\"  class=\"choice-1 depth-1\"  >-- Please Choose --<\/option><option value=\"Aroused - Excited\"  class=\"choice-2 depth-1\"  >Aroused - Excited<\/option><option value=\"Bratty - Naughty - Rebellious\"  class=\"choice-3 depth-1\"  >Bratty - Naughty - Rebellious<\/option><option value=\"Catharsis - Transcendent\"  class=\"choice-4 depth-1\"  >Catharsis - Transcendent<\/option><option value=\"Challenged - Pushed\"  class=\"choice-5 depth-1\"  >Challenged - Pushed<\/option><option value=\"Confident - Empowered - Strong\"  class=\"choice-6 depth-1\"  >Confident - Empowered - Strong<\/option><option value=\"Connected - Understood\"  class=\"choice-7 depth-1\"  >Connected - Understood<\/option><option value=\"Controlled - Disciplined\"  class=\"choice-8 depth-1\"  >Controlled - Disciplined<\/option><option value=\"Degraded - Objectified - Dehumanized\"  class=\"choice-9 depth-1\"  >Degraded - Objectified - Dehumanized<\/option><option value=\"Desirable - Feminine - Sexy\"  class=\"choice-10 depth-1\"  >Desirable - Feminine - Sexy<\/option><option value=\"Embarrassed - Humiliated - Humble\"  class=\"choice-11 depth-1\"  >Embarrassed - Humiliated - Humble<\/option><option value=\"Exposed - Helpless - Vulnerable\"  class=\"choice-12 depth-1\"  >Exposed - Helpless - Vulnerable<\/option><option value=\"Inferior - Worthless\"  class=\"choice-13 depth-1\"  >Inferior - Worthless<\/option><option value=\"Innocent - Nutured\"  class=\"choice-14 depth-1\"  >Innocent - Nutured<\/option><option value=\"Masochistic - Punished\"  class=\"choice-15 depth-1\"  >Masochistic - Punished<\/option><option value=\"Owned - Belonging - Protected\"  class=\"choice-16 depth-1\"  >Owned - Belonging - Protected<\/option><option value=\"Safe - Secure\"  class=\"choice-17 depth-1\"  >Safe - Secure<\/option><option value=\"Slutty - Filthy - Trashy - Used\"  class=\"choice-18 depth-1\"  >Slutty - Filthy - Trashy - Used<\/option><option value=\"Submissive - Subservient\"  class=\"choice-19 depth-1\"  >Submissive - Subservient<\/option><option value=\"Threatened - Frightened\"  class=\"choice-20 depth-1\"  >Threatened - Frightened<\/option><option value=\"Tiny - Small - Prey\"  class=\"choice-21 depth-1\"  >Tiny - Small - Prey<\/option><option value=\"Valued - Appreciated - Cherished\"  class=\"choice-22 depth-1\"  >Valued - Appreciated - Cherished<\/option><\/select><\/div><div id=\"wpforms-15303-field_20-container\" class=\"wpforms-field wpforms-field-textarea\" data-field-type=\"textarea\" data-field-id=\"20\"><label class=\"wpforms-field-label\" for=\"wpforms-15303-field_20\">What if any marks are acceptable to you and how long?<\/label><textarea id=\"wpforms-15303-field_20\" class=\"wpforms-field-medium\" name=\"wpforms[fields][20]\" placeholder=\"(Please note: Although I am very good at what I do and rarely leave marks on people that do NOT wish them, I cannot absolutely guarantee whether you will get a mark or not or how long a mark will last.) \" aria-errormessage=\"wpforms-15303-field_20-error\" ><\/textarea><\/div><div id=\"wpforms-15303-field_21-container\" class=\"wpforms-field wpforms-field-textarea\" data-field-type=\"textarea\" data-field-id=\"21\"><label class=\"wpforms-field-label\" for=\"wpforms-15303-field_21\">Other or more specific feeling. desire, goal? <\/label><textarea id=\"wpforms-15303-field_21\" class=\"wpforms-field-medium\" name=\"wpforms[fields][21]\" aria-errormessage=\"wpforms-15303-field_21-error\" ><\/textarea><\/div><div id=\"wpforms-15303-field_22-container\" class=\"wpforms-field wpforms-field-textarea\" data-field-type=\"textarea\" data-field-id=\"22\"><label class=\"wpforms-field-label\" for=\"wpforms-15303-field_22\">What activities do you know you LOVE in a scene that support or inspire the above feelings?<\/label><textarea id=\"wpforms-15303-field_22\" class=\"wpforms-field-medium\" name=\"wpforms[fields][22]\" placeholder=\" (bondage, CBT, nipple play, cross dressing, medical play, spanking, fetishes, etc.) \" aria-errormessage=\"wpforms-15303-field_22-error\" ><\/textarea><\/div><div id=\"wpforms-15303-field_23-container\" class=\"wpforms-field wpforms-field-pagebreak\" data-field-type=\"pagebreak\" data-field-id=\"23\"><div class=\"wpforms-clear wpforms-pagebreak-left\"><span class=\"wpforms-page-button-group\"><button class=\"wpforms-page-button wpforms-page-next wpforms-disabled\"\n\t\t\t\t\tdata-action=\"next\" data-page=\"3\" data-formid=\"15303\" aria-disabled=\"true\" aria-describedby=\"wpforms-error-noscript\">Next<\/button><img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/www.sxysadist.com\/MainSite\/wp-content\/plugins\/wpforms\/assets\/images\/submit-spin.svg\" class=\"wpforms-page-button-spinner\" style=\"display: none;\" width=\"26\" height=\"26\" alt=\"Loading\"><\/span><\/div><\/div><\/div><div class=\"wpforms-page wpforms-page-4  \" data-page=\"4\" style=\"display:none;\"><div id=\"wpforms-15303-field_24-container\" class=\"wpforms-field wpforms-field-textarea\" data-field-type=\"textarea\" data-field-id=\"24\"><label class=\"wpforms-field-label\" for=\"wpforms-15303-field_24\">What are your hard and soft limits (if known)? <\/label><textarea id=\"wpforms-15303-field_24\" class=\"wpforms-field-medium\" name=\"wpforms[fields][24]\" aria-errormessage=\"wpforms-15303-field_24-error\" ><\/textarea><\/div><div id=\"wpforms-15303-field_25-container\" class=\"wpforms-field wpforms-field-textarea\" data-field-type=\"textarea\" data-field-id=\"25\"><label class=\"wpforms-field-label\" for=\"wpforms-15303-field_25\">Please describe as clearly as possible, what you envision for a first scene with me.  I want at least a paragraph or two in this field so I have a clear understanding of your wishes and desires. <\/label><textarea id=\"wpforms-15303-field_25\" class=\"wpforms-field-medium\" name=\"wpforms[fields][25]\" placeholder=\"What is the most important activity, aspect, or feeling that you wish to experience in a training session with me? What do you imagine seeing, hearing or feeling. Give me insight into what makes you tick, what makes this hot, sexy, interesting, cathartic, exciting, etc. for you? Any roles you wish to play or key phrases that you desire to hear etc? \" aria-errormessage=\"wpforms-15303-field_25-error\" ><\/textarea><\/div><div id=\"wpforms-15303-field_26-container\" class=\"wpforms-field wpforms-field-select wpforms-field-select-style-classic\" data-field-type=\"select\" data-field-id=\"26\"><label class=\"wpforms-field-label\" for=\"wpforms-15303-field_26\">What style or energy do you want the scene to have?<\/label><select id=\"wpforms-15303-field_26\" class=\"wpforms-field-medium\" name=\"wpforms[fields][26]\"><option value=\"-- Please Choose --\"  class=\"choice-1 depth-1\"  >-- Please Choose --<\/option><option value=\"Amused - Playful\"  class=\"choice-2 depth-1\"  >Amused - Playful<\/option><option value=\"Authoritative - Stern\"  class=\"choice-3 depth-1\"  >Authoritative - Stern<\/option><option value=\"Compassionate - Nurturing\"  class=\"choice-4 depth-1\"  >Compassionate - Nurturing<\/option><option value=\"Cruel - Sadistic\"  class=\"choice-5 depth-1\"  >Cruel - Sadistic<\/option><option value=\"Disdainful - Mocking\"  class=\"choice-6 depth-1\"  >Disdainful - Mocking<\/option><option value=\"Seductive - Teasing\"  class=\"choice-7 depth-1\"  >Seductive - Teasing<\/option><\/select><\/div><div id=\"wpforms-15303-field_27-container\" class=\"wpforms-field wpforms-field-text\" data-field-type=\"text\" data-field-id=\"27\"><label class=\"wpforms-field-label\" for=\"wpforms-15303-field_27\">Something else? <\/label><input type=\"text\" id=\"wpforms-15303-field_27\" class=\"wpforms-field-medium\" name=\"wpforms[fields][27]\" aria-errormessage=\"wpforms-15303-field_27-error\" ><\/div><div id=\"wpforms-15303-field_28-container\" class=\"wpforms-field wpforms-field-textarea\" data-field-type=\"textarea\" data-field-id=\"28\"><label class=\"wpforms-field-label\" for=\"wpforms-15303-field_28\">Is there anything else you think that I need to know about you and what you desire to experience with me?<\/label><textarea id=\"wpforms-15303-field_28\" class=\"wpforms-field-medium\" name=\"wpforms[fields][28]\" aria-errormessage=\"wpforms-15303-field_28-error\" ><\/textarea><\/div><div id=\"wpforms-15303-field_29-container\" class=\"wpforms-field wpforms-field-pagebreak\" data-field-type=\"pagebreak\" data-field-id=\"29\"><div class=\"wpforms-clear wpforms-pagebreak-left\"><span class=\"wpforms-page-button-group\"><button class=\"wpforms-page-button wpforms-page-next wpforms-disabled\"\n\t\t\t\t\tdata-action=\"next\" data-page=\"4\" data-formid=\"15303\" aria-disabled=\"true\" aria-describedby=\"wpforms-error-noscript\">Next<\/button><img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/www.sxysadist.com\/MainSite\/wp-content\/plugins\/wpforms\/assets\/images\/submit-spin.svg\" class=\"wpforms-page-button-spinner\" style=\"display: none;\" width=\"26\" height=\"26\" alt=\"Loading\"><\/span><\/div><\/div><\/div><div class=\"wpforms-page wpforms-page-5 last \" data-page=\"5\" style=\"display:none;\"><div id=\"wpforms-15303-field_30-container\" class=\"wpforms-field wpforms-field-text\" data-field-type=\"text\" data-field-id=\"30\"><label class=\"wpforms-field-label\" for=\"wpforms-15303-field_30\">Desired Date and Time of Session <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><input type=\"text\" id=\"wpforms-15303-field_30\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][30]\" placeholder=\"(ex 8\/21 - 4p) or put a date range \/ flexible days of the week etc. \" aria-errormessage=\"wpforms-15303-field_30-error\" required><\/div><div id=\"wpforms-15303-field_31-container\" class=\"wpforms-field wpforms-field-radio wpforms-list-2-columns\" data-field-type=\"radio\" data-field-id=\"31\"><fieldset><legend class=\"wpforms-field-label\">How long a session do you wish to book?  <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/legend><ul id=\"wpforms-15303-field_31\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-15303-field_31_1\" name=\"wpforms[fields][31]\" value=\"One hour - $300\" aria-errormessage=\"wpforms-15303-field_31_1-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-15303-field_31_1\">One hour - $300<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"radio\" id=\"wpforms-15303-field_31_2\" name=\"wpforms[fields][31]\" value=\"90 mins - $450\" aria-errormessage=\"wpforms-15303-field_31_2-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-15303-field_31_2\">90 mins - $450<\/label><\/li><li class=\"choice-3 depth-1\"><input type=\"radio\" id=\"wpforms-15303-field_31_3\" name=\"wpforms[fields][31]\" value=\"Two hours - $575\" aria-errormessage=\"wpforms-15303-field_31_3-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-15303-field_31_3\">Two hours - $575<\/label><\/li><li class=\"choice-4 depth-1\"><input type=\"radio\" id=\"wpforms-15303-field_31_4\" name=\"wpforms[fields][31]\" value=\"Three hours - $850\" aria-errormessage=\"wpforms-15303-field_31_4-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-15303-field_31_4\">Three hours - $850<\/label><\/li><li class=\"choice-5 depth-1\"><input type=\"radio\" id=\"wpforms-15303-field_31_5\" name=\"wpforms[fields][31]\" value=\"Four hours - $1100\" aria-errormessage=\"wpforms-15303-field_31_5-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-15303-field_31_5\">Four hours - $1100<\/label><\/li><\/ul><\/fieldset><\/div><div id=\"wpforms-15303-field_32-container\" class=\"wpforms-field wpforms-field-checkbox\" data-field-type=\"checkbox\" data-field-id=\"32\"><fieldset><legend class=\"wpforms-field-label\">Add - ons (please note the prices listed are in addition to the session fee.<\/legend><ul id=\"wpforms-15303-field_32\"><li class=\"choice-8 depth-1\"><input type=\"checkbox\" id=\"wpforms-15303-field_32_8\" name=\"wpforms[fields][32][]\" value=\"Weekend Session $50\" aria-errormessage=\"wpforms-15303-field_32_8-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-15303-field_32_8\">Weekend Session $50<\/label><\/li><li class=\"choice-1 depth-1\"><input type=\"checkbox\" id=\"wpforms-15303-field_32_1\" name=\"wpforms[fields][32][]\" value=\"Mock Medical Exam - $50 to $75 (depending on supplies you may need)\" aria-errormessage=\"wpforms-15303-field_32_1-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-15303-field_32_1\">Mock Medical Exam - $50 to $75 (depending on supplies you may need)<\/label><\/li><li class=\"choice-3 depth-1\"><input type=\"checkbox\" id=\"wpforms-15303-field_32_3\" name=\"wpforms[fields][32][]\" value=\"Heavy Corporal or OTK focused play - $50\" aria-errormessage=\"wpforms-15303-field_32_3-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-15303-field_32_3\">Heavy Corporal or OTK focused play - $50<\/label><\/li><li class=\"choice-4 depth-1\"><input type=\"checkbox\" id=\"wpforms-15303-field_32_4\" name=\"wpforms[fields][32][]\" value=\"Lightly Invasive Prostate Play - $50\" aria-errormessage=\"wpforms-15303-field_32_4-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-15303-field_32_4\">Lightly Invasive Prostate Play - $50<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"checkbox\" id=\"wpforms-15303-field_32_2\" name=\"wpforms[fields][32][]\" value=\"Intense Role Play or psychodrama - $75\" aria-errormessage=\"wpforms-15303-field_32_2-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-15303-field_32_2\">Intense Role Play or psychodrama - $75<\/label><\/li><li class=\"choice-5 depth-1\"><input type=\"checkbox\" id=\"wpforms-15303-field_32_5\" name=\"wpforms[fields][32][]\" value=\"Pegging \/ oral strap-on play - $75\" aria-errormessage=\"wpforms-15303-field_32_5-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-15303-field_32_5\">Pegging \/ oral strap-on play - $75<\/label><\/li><li class=\"choice-7 depth-1\"><input type=\"checkbox\" id=\"wpforms-15303-field_32_7\" name=\"wpforms[fields][32][]\" value=\"Couples session (you &amp; your partner) - $100\" aria-errormessage=\"wpforms-15303-field_32_7-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-15303-field_32_7\">Couples session (you &amp; your partner) - $100<\/label><\/li><li class=\"choice-6 depth-1\"><input type=\"checkbox\" id=\"wpforms-15303-field_32_6\" name=\"wpforms[fields][32][]\" value=\"Intense Tease &amp; Denial - $150\" aria-errormessage=\"wpforms-15303-field_32_6-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-15303-field_32_6\">Intense Tease &amp; Denial - $150<\/label><\/li><\/ul><\/fieldset><\/div><div id=\"wpforms-15303-field_33-container\" class=\"wpforms-field wpforms-field-select wpforms-conditional-trigger wpforms-field-select-style-classic\" data-field-type=\"select\" data-field-id=\"33\"><label class=\"wpforms-field-label\" for=\"wpforms-15303-field_33\">Where did you hear of me? <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><select id=\"wpforms-15303-field_33\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][33]\" required=\"required\"><option value=\"-- Please Choose --\"  class=\"choice-8 depth-1\"  >-- Please Choose --<\/option><option value=\"Bad Kitty\"  class=\"choice-1 depth-1\"  >Bad Kitty<\/option><option value=\"BDSM Professionals\"  class=\"choice-5 depth-1\"  >BDSM Professionals<\/option><option value=\"Dickie Virgin\"  class=\"choice-2 depth-1\"  >Dickie Virgin<\/option><option value=\"Google Search\"  class=\"choice-4 depth-1\"  >Google Search<\/option><option value=\"Skip the Games\"  class=\"choice-3 depth-1\"  >Skip the Games<\/option><option value=\"Pandemos\"  class=\"choice-6 depth-1\"  >Pandemos<\/option><option value=\"Other\"  class=\"choice-7 depth-1\"  >Other<\/option><\/select><\/div><div id=\"wpforms-15303-field_46-container\" class=\"wpforms-field wpforms-field-text wpforms-conditional-field wpforms-conditional-show\" data-field-type=\"text\" data-field-id=\"46\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-15303-field_46\">Where:<\/label><input type=\"text\" id=\"wpforms-15303-field_46\" class=\"wpforms-field-small\" name=\"wpforms[fields][46]\" aria-errormessage=\"wpforms-15303-field_46-error\" ><\/div><div id=\"wpforms-15303-field_36-container\" class=\"wpforms-field wpforms-field-checkbox\" data-field-type=\"checkbox\" data-field-id=\"36\"><fieldset><legend class=\"wpforms-field-label\"> Acknowledgements <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/legend><ul id=\"wpforms-15303-field_36\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"checkbox\" id=\"wpforms-15303-field_36_1\" name=\"wpforms[fields][36][]\" value=\"I understand that Mz Suzanne does NOT offer sexual services, does not guarantee orgasm, and will remain fully clothed at all times. \" aria-errormessage=\"wpforms-15303-field_36_1-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-15303-field_36_1\">I understand that Mz Suzanne does NOT offer sexual services, does not guarantee orgasm, and will remain fully clothed at all times.<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"checkbox\" id=\"wpforms-15303-field_36_2\" name=\"wpforms[fields][36][]\" value=\"I agree that Mz Suzanne will not be held responsible for any injury resulted from our risk-aware and consensual play session.\" aria-errormessage=\"wpforms-15303-field_36_2-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-15303-field_36_2\">I agree that Mz Suzanne will not be held responsible for any injury resulted from our risk-aware and consensual play session.<\/label><\/li><li class=\"choice-3 depth-1\"><input type=\"checkbox\" id=\"wpforms-15303-field_36_3\" name=\"wpforms[fields][36][]\" value=\"I acknowledge that a 1\/3 deposit will be required and will send that along once directed to do so via one of the payment methods mentioned on the Book your Session page.\" aria-errormessage=\"wpforms-15303-field_36_3-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-15303-field_36_3\">I acknowledge that a 1\/3 deposit will be required and will send that along once directed to do so via one of the payment methods mentioned on the Book your Session page.<\/label><\/li><li class=\"choice-4 depth-1\"><input type=\"checkbox\" id=\"wpforms-15303-field_36_4\" name=\"wpforms[fields][36][]\" value=\"I agree to report any covid symptoms (cough, fever or chills, shortness of breath or difficulty breathing, fatigue, loss of taste or smell etc) to me prior to our meeting.\" aria-errormessage=\"wpforms-15303-field_36_4-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-15303-field_36_4\">I agree to report any covid symptoms (cough, fever or chills, shortness of breath or difficulty breathing, fatigue, loss of taste or smell etc) to me prior to our meeting.<\/label><\/li><\/ul><\/fieldset><\/div><div id=\"wpforms-15303-field_12-container\" class=\"wpforms-field wpforms-field-pagebreak\" data-field-type=\"pagebreak\" data-field-id=\"12\"><\/div><\/div><script>\n\t\t\t\t( function() {\n\t\t\t\t\tconst style = document.createElement( 'style' );\n\t\t\t\t\tstyle.appendChild( document.createTextNode( '#wpforms-15303-field_6-container { position: absolute !important; overflow: hidden !important; display: inline !important; height: 1px !important; width: 1px !important; z-index: -1000 !important; padding: 0 !important; } #wpforms-15303-field_6-container input { visibility: hidden; } #wpforms-conversational-form-page #wpforms-15303-field_6-container label { counter-increment: none; }' ) );\n\t\t\t\t\tdocument.head.appendChild( style );\n\t\t\t\t\tdocument.currentScript?.remove();\n\t\t\t\t} )();\n\t\t\t<\/script><\/div><!-- .wpforms-field-container --><div class=\"wpforms-recaptcha-container wpforms-is-recaptcha wpforms-is-recaptcha-type-v2\" style=\"display:none;\"><div class=\"g-recaptcha\" data-sitekey=\"6Lduz0sqAAAAAG2-1_0vVvj0vF9nsPOKaRgNAapZ\"><\/div><input type=\"text\" name=\"g-recaptcha-hidden\" class=\"wpforms-recaptcha-hidden\" style=\"position:absolute!important;clip:rect(0,0,0,0)!important;height:1px!important;width:1px!important;border:0!important;overflow:hidden!important;padding:0!important;margin:0!important;\" data-rule-recaptcha=\"1\"><\/div><div class=\"wpforms-submit-container\" style=\"display:none;\"><input type=\"hidden\" name=\"wpforms[id]\" value=\"15303\"><input type=\"hidden\" name=\"wpforms[time_token]\" value=\"1792906516.45357a4b4f8fd94ad994947c3ed28816bd4d5daa00ed250595b197fd785f5c4f\"><input type=\"hidden\" name=\"page_title\" value=\"\"><input type=\"hidden\" name=\"page_url\" value=\"https:\/\/www.sxysadist.com\/MainSite\/index.php?rest_route=\/wp\/v2\/pages\/89\"><input type=\"hidden\" name=\"url_referer\" value=\"\"><button type=\"submit\" name=\"wpforms[submit]\" id=\"wpforms-submit-15303\" class=\"wpforms-submit\" data-alt-text=\"Sending...\" data-submit-text=\"Submit\" aria-live=\"assertive\" value=\"wpforms-submit\">Submit<\/button><img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/www.sxysadist.com\/MainSite\/wp-content\/plugins\/wpforms\/assets\/images\/submit-spin.svg\" class=\"wpforms-submit-spinner\" style=\"display: none;\" width=\"26\" height=\"26\" alt=\"Loading\"><\/div><input\n                    class=\"apbct_special_field apbct_email_id__wp_wpforms\"\n                    name=\"apbct__email_id__wp_wpforms\"\n                    aria-label=\"apbct__label_id__wp_wpforms\"\n                    type=\"text\" size=\"30\" maxlength=\"200\" autocomplete=\"off\"\n                    value=\"\"\n                \/><\/form><\/div>  <!-- .wpforms-container -->\n\n\n\n<p class=\"wp-block-paragraph\"><\/p>\n","protected":false},"excerpt":{"rendered":"","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"class_list":["post-89","page","type-page","status-publish","hentry"],"jetpack_sharing_enabled":true,"jetpack_likes_enabled":true,"_links":{"self":[{"href":"https:\/\/www.sxysadist.com\/MainSite\/index.php?rest_route=\/wp\/v2\/pages\/89","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.sxysadist.com\/MainSite\/index.php?rest_route=\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/www.sxysadist.com\/MainSite\/index.php?rest_route=\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/www.sxysadist.com\/MainSite\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.sxysadist.com\/MainSite\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=89"}],"version-history":[{"count":0,"href":"https:\/\/www.sxysadist.com\/MainSite\/index.php?rest_route=\/wp\/v2\/pages\/89\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.sxysadist.com\/MainSite\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=89"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}