Tantra by Goddess Aubrey

Client Application Form

Name *

Phone Number *

Occupation (just curious)

Emergency Contact

How'd you hear about or find me? *

What Session Would You Like? *

Tantra VIP Nuru Couples

Session City *

Preferred Date

MUST READ:

1. I understand that a session is not sexual and does not include sexual acts or any form of sexual exchange for pay. Any donations received are for the time and companionship only. Any activities outside of the arranged experience are not part of the agreement and are decisions between consenting adults and is not part of any monetary exchange.

2. I understand that touch therapy and cuddle therapy is not a substitute for traditional treatments or medications.

3. I understand the risks associated with bodywork include, but are not limited to: superficial bruising, short term muscle-soreness, exacerbation of undiscovered injury. I release the provider from all liability concerning injuries that may occur during the bodywork session.

4. I understand the importance of informing the provider of all medical conditions and medications I am taking, and to let her know about any changes to these. I understand that there may be additional risks based on my physical condition.

5. I understand that the provider is not a licensed massage therapist and does not perform massage therapy.

6. I understand that I, or the provider may terminate the session at any time.

7. I have been given a chance to ask questions about the session and my questions have been answered.

8. I am 18 years old or older thereby am fully able to give legal consent.

9. I agree to be free of the influence of mind-altering substances during interaction with the practitioner, thereby remain able to give legal consent at all times.

Check if you agree *

I agree to the statements and terms above.

Before we can meet, I just need some proof you're a real person. The more info you provide, the safer I feel!

Upload a selfie with your ID *

Optional/Additional:

LinkedIn, active social media, or contact info of providers you’ve seen who can vouch for you

Would you like to know if I come to your city?

All your info is safe and doesn't go anywhere. I don't see anyone that doesn't screen first, for my safety (and yours). One screened and approved, I will be in touch and we’ll be together in no time!