Legal Name *

First Name

Last Name

Cell Phone Number *

(###)

###

####

Preferred method of contact

Email

Text

Your relationship status

Please only reach out to me if you are single or in a relationship where this activity is agreed upon. I rely on your honesty in this matter.

I am single or in an open relationship

Preferred Location

Outcall (Upscale hotel)

Incall (Downtown Vancouver)

Which experiences are you interested in?

Girlfriend Experience

Erotic Massage

Dinner Date

Overnight

Domination Duos with Goddess Rose

Tantric Duos with Romi

For verification purposes you may provide either *

A picture of your government issued photo ID, and a selfie of you holding it. The ID must be unobstructed and not expired. Photos may be emailed to welcome.to.cecily@gmail.com.

The name, email address and website or ad of an independent provider you’ve seen in the past six months. Please ensure you have the provider’s permission to use them as a reference.

How did you hear about me?

Tryst

Leolist

Other

Deposit Policy *

In order to confirm your booking, a 20% deposit will be required. FMTY sessions require a 50% deposit. This amount will be deducted from the full total, with the remainder payable at the start of your session.

I agree

Health Policy *

Safe and covered play only. If you feel unwell please let me know in advance and we can reschedule the session. I will do the same for you.

I agree

Cancelation Policy *

Cancelations and requests to reschedule with less than 48 hours' notice are subject to a %50 cancelation fee.

I agree