Please enable JavaScript in your browser to complete this form.Name *Email *AgeCity / CountryDate RequestedIndicate the date/s you wish to visit meDurationIndicate the duration of your visit. eg. 2hrs, 3hrs, 12hrs, 24hr etcLanguage you speakPlease also indicate if you understand EnglishWhat is your request for Mistress AprilWhat do you want from your session. Be as detailed as possible.List your hard limitsPlease be clear on those practices you do NOT want to engage in.Any medical issues / physical limitationsList any medical issues you may have or anything that limits your movementDo you consent to marks / bruises caused by impact playYesNoOnly in specific places – to be discussedDo you consent to be filmedYesNo** If you consent to being filmed, you have the option of wearing a mask. You will need to complete a consent form and provide your ID for age verification.Extra questions or notes for Mistress AprilSignatureDateSubmit