You voluntarily bow and kiss my hand as my humble servant, respecting the feminine aspects of my divinity. Mutual confidentiality is expected in our Priestess/humble servant relationship. ____Initial. If you cannot agree to mutual confidentiality, please ask to be excused at once.

* You are to obey every command of mine. If any command is disobeyed, you understand that corporal punishment may or may not be inflicted at my discretion.

* Your code word is MERCY. If for some reason you cannot obey a command, your pain threshold has been reached or I must be notified regarding a safety or anything you feel uncomfortable with, you must use the code word MERCY before you speak and this contract will be immediately modified in relation to the circumstances at that time. _____Initial

* If you are gagged, the code is to SNAP YOUR FINGERS._____Initial

* You agree to use the code word MERCY and notify me immediately regarding any genuine safety concerns that I may or may not be aware.

*Prior to this session and/or any future sessions, you are to list any relevant health matters and explain how they may affect our relationship.

* You understand that you assume all risk for any injuries, unless I act in a grossly negligent manner. If you expressly request or implicitly agree to a high risk activity without using the code word that you will assume all risk for any injuries stemming from that activity.______ Initial

* If you want to touch yourself in any way whatsoever, including scratching your nose, you must beg and/or ask permission.

*If you want to touch me, you must ask my permission. Touching of the breast or genitals will not be permitted.

* I distinguish between domination and humiliation. Domination is where I order you around, telling you what to do. If you are not interested in domination, then I will not do business with you. Humiliation is where I insult or demean you e.g. Bitch, slut whore, pathetic beast, animal etc. I will use humiliation at my discretion, but will consider your feelings on this issue.

* If you are interested in any role plays, we can discuss your fantasy. If you want to write me a fantasy, that is fine. However, I never follow a fantasy exactly, because I refuse to be told what to do. Further, I never agree to any portions of any fantasies that contain illegal conduct. Following are examples of fantasy role plays: Tortured as a Witch; Tortured as an international Spy/Communist; Teacher/student; Strict Aunt; Mistress/maid; You are treated as an animal; Kidnaping and robbery fantasy.

PLEASE LIST BELOW YOUR PREFERENCES FOR MY CONSIDERATION ONLY

NO INTEREST            LIGHT            MEDIUM            HEAVY         WILL TRY

Confess your sins and beg for forgiveness __NI_______ __L___ ____M____ _____H___ ____WT____

Ordered to wear the gates of hell to prevent lust __NI_______ __L___ ____M____ _____H___ ____WT____

Spanking __NI_______ __L___ ____M____ _____H___ ____WT____

Whipping __NI_______ __L___ ____M____ _____H___ ____WT____

Caning __NI_______ __L___ ____M____ _____H___ ____WT____

Marks/welts __NI_______ __L___ ____M____ _____H___ ____WT____

Bondage __NI_______ __L___ ____M____ _____H___ ____WT____

I bite. __NI_______ __L___ ____M____ _____H___ ____WT____

I scratch. __NI_______ __L___ ____M____ _____H___ ____WT____

Wrapped in plastic you supply __NI_______ __L___ ____M____ _____H___ ____WT____

Blindfolds __NI_______ __L___ ____M____ _____H___ ____WT____

Hood __NI_______ __L___ ____M____ _____H___ ____WT____

Mask __NI_______ __L___ ____M____ _____H___ ____WT____

Gags __NI_______ __L___ ____M____ _____H___ ____WT____

Humiliation __NI_______ __L___ ____M____ _____H___ ___WT____

Foot Worship __NI_______ __L___ ____M____ _____H___ ___WT____

Body Worship excluding genitals or other intimate parts __NI_______ __L___ ____M____ _____H___ ____WT____

Ridden like horse. __NI_______ __L___ ____M____ _____H___ ____WT____

Treated like dog. __NI_______ __L___ ____M____ _____H___ ____WT____

Ordered to wear cock ring __NI_______ __L___ ____M____ _____H___ ___WT____

Dildo training: Meaning you will be Ordered to perform a dildo show for me. Note: Condoms will be provided for all dildos that you are ordered to use on yourself. In addition they are bleached after each use. __NI_______ __L___ ____M____ _____H___ __WT____

Fellatio on strap on dildo __NI_______ __L___ ____M____ _____H___ ____WT____

Ordered to wear nipple clamps __NI_______ __L___ ____M____ _____H___ ____WT____

CBT with candle wax: This involves no touching. __NI_______ __L___ ____M____ _____H___ ____WT____

NT with candle wax. This involves no touching. __NI_______ __L___ ____M____ _____H___ ___WT____

Ordered to wear electronically controlled Cock ring. Must have no history of heart problems and assume the risk. __NI_______ __L___ ____M____ _____H___ ____WT____

Tied up and tickled for my pleasure and your torture. __NI_______ __L___ ____M____ _____H___ ____WT____

Ordered to wear full body leather harness __NI_______ __L___ ____M____ _____H___ ____WT____

Ordered to wear women’s underwear __NI_______ __L___ ____M____ _____H___ ____WT____

Forced to be transformed to a woman. Wig, make up, dress, shoes, undergarments etc. __NI_______ __L___ ____M____ _____H___ ____WT____

Ordered to dance for me __NI_______ __L___ ____M____ _____H___ ____WT____

Ordered to sing for me __NI_______ __L___ ____M____ _____H___ ____WT____

Ordered to clean house __NI_______ __L___ ____M____ _____H___ ____WT____

Forced to be a piece of furniture __NI_______ __L___ ____M____ _____H___ ____WT____

Note: All orders given do NOT indicate that your Empress shall touch you sexually in any way. ________________________________________ Date:______________

You may sign your slave name as “Spanky,” initial, or sign your first name.

Thank you for choosing slavery. The pleasure is all mine. You can have what’s left.

Please list below all relevant medical conditions. Or make a statement that you have none.