APPLICATION
Send the following information to [email protected]
FULL NAME:
AGE:
ADDRESS:
PHONE NO:
EMAIL:
OCCUPATION:
ANNUAL INCOME:
INTERESTS: (INDICATE)
PUBLIC HUMILIATION FINANCIAL DOMINATION
FOOT WORSHIP ORGASM DENIAL CHASTITY TRIBUTES
SISSY SLUT TRAINING GOLDEN SHOWERS
LIST ALL OTHERS
DO YOU HAVE A WEBCAM?
DO YOU HAVE A DIGITAL CAMERA?
WHAT ARE YOU WILLING TO DO ON CAM FOR ME?
LIST ANY LIMITS YOU HAVE?
(be specific, precise and clear)
Send your application to my email address along with the following statement and a photo of your telephone bill, drivers license, or other documentation that verifies who you are.
I, _____________________ willing allow Goddess Hailey to use all and any information, photos or anything else in any way she desires. This includes publishing material on her website. I will not complain about any damages that may incur from my actions and fully understand the risks associated with the submission of this form. I will obey Goddess Hailey at all time and follow every one of her instructions regardless of the consequences and the damage to my life, reputation or finances.
FULL NAME:
SIGNATURE:
scan or send photo of signed document.
APPLICATION FEE: $20