Mistress Madeline - Chicago BBW Dominatrix, Chicago BBW Mistress, Chicago BBW Domina, Chicago Domination Dungeon, Chicago Dom Domme, Chicago FemDom Fetish, Chicago BDSM, Chicago Fetish, Chicago Domination, O'Hare Dungeon, Rosemont, Des Plaines, Chicagoland

Mistress Madeline

Dominatrix, Fetishist, Goddess

Contact

E-MAIL:
If you have a question that is not covered on my site, feel free to e-mail your inquiry to me. If you wish to be added to my mailing list, so you'll be notified when I tour your city, e-mail your request to me. My e-mail address is:

SESSION SCHEDULING:
If you wish to schedule a session, review my website in its entirety, then complete this booking form. All clients are required to complete this application. No exceptions will be made; no application, no Mistress Madeline, period.

Appointment Application

Complete this form in its entirety. The results will be e-mailed to me. I will review them as soon as possible. I will contact you as soon as I review your application. Incomplete applications will be discarded. All information is kept confidential and destroyed immediately after our appointment. I am well-known for my integrity and high level of discretion.

YOU MUST BOOK AT LEAST 24 HOURS IN ADVANCE, BECAUSE I DO NOT SEE NEW CLIENTS FOR SAME DAY APPOINTMENTS.

Applicant Information
Legal First Name:
Legal Last Name:
Nickname:
E-mail:
Daytime Phone:
Evening Phone:
City of residence as it appears on your drivers license or state-issued ID:
State of residence as it appears on your driver's license or state-issued ID:
Residence if you live outside the US:
Gender:
Occupation:
Birth Month:
Birth Year: You must be 30-70 years old to visit my dungeon.
Ethnicity:
Height:
Weight:
Hair Color:	(choose all that apply by holding down ctrl and highlighting your choices)
Eye Color:
Disabilities and/or physical anomalies:
Verification Site Information - Leave Blank If Not Applicable
RS2K Info:
Date Check Info:
Preferred411 Info:
Previous Experience Information - Leave Blank If Not Applicable
If you've seen a professional mistress, escort, or dominatrix before, who did you see most recently? Please, include as much info as possible (her stage name, phone number, e-mail address, website, etc.):
Appointment Information
Date Desired:
Type Desired:	Incall
	Outcall
City Desired (Leave blank if you wish to come to the Kinky Klinik near O'Hare airport):
Time Desired:	Morning
	Afternoon
	Evening
	Late Night
Where did you find my website? (e.g. Max Fisch, Dickie Virgin, Google, etc.):
Comments:

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If you do not hear from me within 24 hours of submitting this form, please e-mail me.