Name *

First Name

Last Name

Phone

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I want to connect with: *

Jess the Playful Domme

Lisa the Poly Wife

Both

Preferred Style of Session *

Online/Video

In-person

Phone call

Interested in learning more about: *

Sensual Touch

Kink

Polyamory

Relationship Coaching

Intimacy Coaching

Having Jess or Lisa come to a women's event you're hosting

Other

We respect your privacy. *

We at The Playful Podcast recognize the sensitivity of people's lives and their intimacy. Whatever you share on this form will remain in the strictest of confidence among the team only.

I understand.