Submit

Once you have decided that you are ready to embark on your fetish fantasy, you will be expected to submit to your Viking Queen and complete the following screening form.

The better I am able to understand your specific kinks, the better will our time be spent. Reminder; I am a mature student of psychology and believe strongly that the ultimate purpose of BDSM play is to explore our mental boundaries, fears & taboos, and to ultimately transcend them.

I am also a certified Astrologer and yield the power of the universe in my intuitive skills. The more information you are able and willing to provide to me about your birth date, the better for you.

I welcome kinksters of all kinds.

Name *

Email Address *

Membership/Review Board Handle

Phone

Date of Birth (with time and location, if known)

City of Session *TorontoTour CityFly Me to you

If TOUR CITY, provide location:

If FMTY, provide location:

Requested Date & Time *

Date

Time

Have you seen a pro Domme before?YesNo

If yes, please provide name:

Requested Session Type (check all that apply)

• Phone Session
• Fetish & Worship
• Impact Play
• Sensation
• Role Play
• Bondage
• Rough Play
• Sissy Training
• Anal Play
• D/s Contract & Chastity
• Shopping Excursion
• Overnight

Requested Session Length

• 1.5 HR (fetish, worship, impact, sensation, roleplay, bondage, rough play)
• 2 HR (anal play, sissy training, feminization, forced-bi)
• Extended Session (2hr +)

Add Ons

• Out Call (hotel only) + $100
• Additional time + $200/HH
• Dungeon + $200

If out call, provide hotel + location:

You agree to send a 25% deposit *Email Transfer: joline@queenjoline.caPaypal: paypalme/queenjolineGift Card: https://queenjoline.ca/wish-list/

ABOUT YOU

Please describe yourself (gender, age, sexual orientation)

BDSM Identification

• New & Curious
• Experienced Submissive
• Fetishist
• Role Play Enthusiast
• Other

If other, please tell me how you would describe yourself:

Preferred Kinks & Fetishes (check all that apply)

• Anal Play (plugs, pegging, strap-on)
• Bondage (predictament, cuffs, rope, chains, confinement)
• Breath Play
• Blind Fold or Hood
• CBT (cock & ball torture)
• Chastity & Key Holding
• Cross Dressing
• Corporal Punishment
• Face Sitting
• Face Slapping
• Financial Domination
• Fisting
• Gags
• Golden Shower
• Hair Pulling
• Human Furniture
• Impact Play (spanking, caning, whipping, flogging, paddling)
• Mummification
• Nipple Play & Torture
• Objectification
• Queening
• Role Play (Age, ABDL, Puppy, Race, Historical, Evil Mommy & Teacher)
• Sensory Deprivation
• Servitude (D/s contract)
• Sissy Training (forced feminization, gender bending, forced bi)
• Tease & Denial (edging, o-control, JOI)
• Tickle Torture
• Trampling
• Verbal Humiliation & Degredation
• Wax Play
• Worship (face sitting, foot, leg, boot, heel, leather, latex, lingerie)
• Wrestling

LIMITS: No SCAT Play, blood or needles

Additional details, limits/boundaries, medical or physical limitations

Are you able to have visible marks (scratches or bruising)?

Describe

After Care Requirements (if any)

Wardrobe RequestLeatherLatexLingerieRole Play Costume

If Role Play, specify costume:

Introduce Yourself to The Queen *

An Introduction is required to book a session with Me.

Submit