- Welcome to -
Mistress Lalique's
Application for the
Honor and Privilege of Serving
Part 1




If you are interested in serving me as a submissive, this is the best method I have found for determining whether we'll be compatible. It's also a great way to chase away curiosity seekers, time wasters and fundamentalists. My client application is divided into two parts. This is part one. To receive part two, you must fill out this first form and submit it to me. THAT is your first assignment, My dear. So give Me a glimpse of the 'real you' as you answer these questions; and make Mistress smile and laugh if you can!

I expect you to answer the questions below completely and to respond to the spirit of the questions -- answering them clearly and with more than 'yes' or 'no' responses. But BEWARE, because Mistress detests a liar! If we are to build a long term relationship it will be based on mutual trust and respect. So, please be honest with Me, My dear. Remember, a sense of humor goes a long way towards capturing My interest, as does respectful language, literacy and a sincere effort to show Me your personality.

When you have finished your application, submit it to Me on your knees. Then remain there patiently awaiting My instructions. If I deem you worthy and your responses are sufficiently submissive, I will respond... eventually!

Ready to begin? Now Go... and do a good job for Mistress, My dear!



Please give me your name:
(Your first name or a "nick name" will do.)

I need your full Internet email address:
(ex: "JonDoe@MyISP.com" not "JonDoe")

Location:

Age:

Profession:

Marital Status:

Phone # and best times to be discreetly contacted:



Describe your general medical history. Information which could impact scenes would include old injuries, contact lenses or glasses, phobias, dental problems, heart, circulatory or neurological conditions, communicable diseases or infections (especially STDs past or present), back or joint problems, etc.

Describe your general psychological health. Areas of interest would be histories of abuse in family or relationships, medications taken, depression, use of controlled or recreational substances and whether any problems you recognize have been addressed in therapy or some other way. If you are aware of suffering from PTSD, for example, let me know that so I can avoid triggering responses which might jeopardize our respective safety.

Give me a general physical description of yourself. If you have a
photograph you can E-mail, please send it to Me now:   

Years of submissive experience:

Names of Mistresses you have served:

Hobbies & Talents that Mistress could utilize:

Indicate whether you can leave sessions with marks that last more
than a few hours.

Describe your fantasy Mistress attire:

Describe to Me your fantasy first session with Me.

Where did you hear about me and why do you desire to serve me?



Congratulations! You have completed part one of My application and are ready to submit it to Me. After you submit part two and I review it, we'll arrange a time for an extended phone interview where we can discuss your application together. Now, get your response submitted to Me by pushing the [Submit] button below and part two will be displayed momentarily!

Mistress Lalique



(Send in your completed form.)

(Clear form and start over.)


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