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How to contact Mistress Katya

To arrange a session, please complete the application form below. All inquiries can be answered in my FAQ section or you may send a respectful email. 24 hours minimum advance notice is required for scheduling of all sessions.  My contact number is given below.

Phone Domination sessions
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Webcam sessions
Session Contact form
Name (required): *
Email Address (required): *
Phone number (required-calls will be handled discreetly): *
Location (city/state):
Please describe your physical appearance (include age, height, and weight for equipment purposes)
When was your last session? (required): *
For first time meetings, I require a minimum of two (2) references of Dommes whom you have sessioned with. In the event that I am not able to verify your references (and I do check them), a deposit may be required. Should you have additional references, you may put them at the bottom of this form.
 		 
Domme Reference #1 *
Domme Reference #1 information (email or website)
Date of the last session that you had with this Domme:
Domme reference #2:
Domme Reference #2 information (email or website):
Date of the last session that you had with this Domme :
What did you do in your previous sessions (activity-wise):
Why are you interested in seeing me?:
Please state your medical history (allergies, injuries, illnesses, medications, etc.):
Where did you hear about me? (be specific):
What is your tolerance to pain (1-10 scale) and are marks acceptable?:
Please provide three dates for meeting that work for you. I will compare them to my schedule and give you the best day that works for me   
Date #1:
Date #2:
Date #3:
Additional dates (if needed):
What kind of session are you looking for?:
What level of play are you comfortable with?:
How would you classify yourself?:
Please list all activities that you are interested in (if you are a novice, please visit my activity page and read the list of what I enjoy):
Please list any activities that you consider to be your "hard limits":
Please list all activities that you have not experienced but want to:
Additional information that I should be aware of

Email: MistressKatya(at)RubberDomme.com
Phone: 646-789-5568
Calls answered between 11:00 am to 7:00 pm
No blocked calls
No text messages
Session appointments are scheduled through email.
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