APPLICATION FORM Please enable JavaScript in your browser to complete this form. Personal Information Name * First Last Email * Email Confirm Email Comment or Message * Telephone * Desired working name Date of birth * Appearance Hair color * Eye color * Length * Weight * Dress size * Bra size * Shoe size * Do you have children * Do you have any tattoos * Do you have piercings * Do you have scars or other visible stretch marks * Personal Details Tel you tell us a bit about yourself * What is your profession/study * What is the level of your education * Do you work or study full-time or part-time * Besides English, which languages do you speak * What are your interest and hobbies * Do you live alone or together with someone * Are you willing to travel for a booking * Yes No Not sure Do you have a car * Yes No Preferences What is your motivation for being an escort * What is your sexual orientation * Do you have experience with couples/woman * Yes No Why did you apply to our Agency * How did you find us * How many hours in the evening per week are you available * When would you like to start * What makes you special * What do you expect from our Agency * Do you have any experience as an escort? If yes, where * Upload your photo's Your Face * Please upload your file in jpg/jpeg, png, pdf with a max filesize of 64mb. Full length body photo * Please upload your file in jpg/jpeg, png, pdf with a max filesize of 64mb. Waist up photo * Please upload your file in jpg/jpeg, png, pdf with a max filesize of 64mb. Shoulder up forward photo * Please upload your file in jpg/jpeg, png, pdf with a max filesize of 64mb. Face side profile photo * Please upload your file in jpg/jpeg, png, pdf with a max filesize of 64mb. Submit