Please be advised your privacy and discretion are my upmost concerns when it comes to this process. With that being said any of the information give shall be disposed once verified. If you do not feel comfortable using this form then send all the same information to my encrypted email (email@example.com).
If your looking to just pre-screen please email all the information from the top half of the form.
I know this is hard but for my safety as well as your own it has to been done. Can't wait to meet you. XOXOXO