For those wishing to be part of my prison stay experience. Please complete the form in detail and do not withhold any medical conditions / emergency needs. Make sure all the information provided is accurate and true.Please enable JavaScript in your browser to complete this form.Name / Profile Name *Email *Country and City *AgeGenderDo you have any allergies?Yes (please specify)NoList your allergies and medication you need to take in case of emergenciesDo you take any medication? If yes, please list below and what the medication is for.Do you have problems or limitations on the movement such as back problems; joint issues like arthritis; knee problems and problems with the spine? If yes, please list below.Do you wear things that need to be removed such as contact lenses, braces, hearing aid? If yes, please list belowDo you have health problems that may affect your time in the prison such as with heart, epilepsy, diabetes or others? List all and in detail.Do you have any phobias? If yes, please listBDSM Experience: How many months/years have you been interested in / participating in BDSM activities?What kind of experience have you had?Which activities do you enjoy engaging in the most during a session?What is the longest session you have had and what did it involve?Have you even done a session for a 48 hour period?Bondage: ExperienceLittle to No experienceSome experienceVery experiencedBondage:How important is bondage to you during a session? What form of bondage do you enjoy the most?Impact Play: ExperienceLittle to no experienceSome experienceVery experiencedImpact Play: Intensity LevelLight / Soft / Easy Intermediate Hard / enjoy pain / marks / bruisingImportant part of my sessionNot necessary in session but would be welcomeImpact Play: My body can be marked and bruisedSome markings / bruising in specified areasNo Marks or BruisesAnal Play: ExperienceLittle to no experienceSome experienceVery experiencedAnal Play: Intensity LevelEasy / gentle (fingers and small plugs)Intermediate (fingers, average size plugs or dildos)Advanced (fists, large plugs / dildos)Important in my session Not necessary in session but would be welcomeDO NOT want to be forced to penetrate another male anallyI am open to being forced to penetrate another male anallyI DO NOT want to have another male penetrate me anallyI am open to having another male penetrate me anallyElectrical Play (Experience and Intensity Level)Easy / gentle Intermediate (have had experience with Electro playAdvanced (have had intense electric play, cattle prod, tens unit, etc)Important in my session Not necessary in session but would be welcomeDo NOT want electro play part of my sessionCBT (Cock and Ball Torture)Easy / gentle (dont hurt my balls, but touch it gently)Intermediate (have had experience with CBT)Advanced (have had intense CBT play, balls busted, squashed, pulled, kicked, etc)Important in my session Not necessary in session but would be welcomeDo NOT want CBT to be part of my sessionMedical Play Never done Medical play before and DO NOT want to tryEasy / gentle (never had any experience or very little)Intermediate (have had experience with medical play such as needles, saline injections, examinations / internal inspections, catheters)Advanced (have had plenty of experience with medical play such as needles, saline injections, examinations / internal inspections, catheters)Important in my session Not necessary in session but would be welcomeWater sports Never done watersports before and DO NOT want to tryEasy / gentle (never had any experience or very little)Intermediate (have had experience - been pissed on / have drunk pee))Advanced (have had plenty of experience with water sports)Important in my session Not necessary in session but would be welcomeFood / Meal considerations *Food during your stay will be basic. 3 Meals a day. If you have any dietary consideration please let me know. This includes intolerance to gluten, dairy, vegan, vegetarian, etc. If none, state 'None"Extra comments / Details I should know.Please explain in detail anything else related to your stay in the prision that I need to be aware of that was not clearly covered in the form above.Mistress April may want to film parts of your stay for her website and promotional material. Please indicate below your preferences. I consent to be filmed as part of Mistress April's promotional material and website footage and give permission to her to have my face and body in view.I consent to being filmed as part of Mistress April's promotional material and website footage ONLY if I am wearing a full face mask and I am unrecognisable.I do NOT consent to being filmed during my stay at the Prison.DeclarationI agree that all information that I have entered into the form is accurate and true.I am aware of the health and psychological risks involved and I understand that I have entered into the role play/fetish fantasy activies at my own riskI undestand that should I WISH to use the safe word "Red" that all activities that involve me, will end and I will be allowed to leave the prison. Leaving means I forfeit my deposit.I acknowledge that I have read and understand all of the above and have made knowledge of anything that may not be highlighted here.Name *FirstLastDatedd/mm/yyyySignatureCommentSubmit