Sensual Tantra Bodywork by Aubrey Haze

Client Application Form

Your information will NEVER be shared anywhere with anyone. Your session with me is discreetly and strictly only between you and me.

Name *

Phone Number *

Should I text or email you? *

Occupation (just curious)

References *

*Since it's your first time experiencing Tantra by Aubrey if you can't provide a referral (established provider you've seen before who can vouch for you), you can provide your active social media links (LinkedIn, Facebook, Instagram). I won't connect with you on social media - I just need to know you're a real person.

Emergency Contact

How'd you hear about or find me? *

What Session Would You Like? *

Meeting Location *

My incall accommodation Outcall to your hotel in Las Vegas or surrounding areas Fly me to your city

MUST READ:

1. I understand that a session is not sexual and does not include sexual acts or any form of sexual exchange for pay. Any donations received are for the time and companionship only. Any activities outside of the arranged experience are not part of the agreement and are decisions between consenting adults and is not part of any monetary exchange.

2. I understand that touch therapy and cuddle therapy is not a substitute for traditional treatments or medications.

3. I understand the risks associated with bodywork include, but are not limited to: superficial bruising, short term muscle-soreness, exacerbation of undiscovered injury. I release the provider from all liability concerning injuries that may occur during the bodywork session.

4. I understand the importance of informing the provider of all medical conditions and medications I am taking, and to let her know about any changes to these. I understand that there may be additional risks based on my physical condition.

5. I understand that the provider is not a licensed massage therapist and does not perform massage therapy.

6. I understand that I, or the provider may terminate the session at any time.

7. I have been given a chance to ask questions about the session and my questions have been answered.

8. I am 18 years old or older thereby am fully able to give legal consent.

9. I agree to be free of the influence of mind-altering substances during interaction with the practitioner, thereby remain able to give legal consent at all times.

Check if you agree *

I agree to the statements and terms above.

Upload A Picture Of You *

Upload Your ID *

Yes, these are required. All of your info is safe and doesn't go anywhere. I don't see anyone that doesn't screen first, for my safety (and yours). Thank you for understanding! For general availability, you can text me 725-252-7444 (no calls) or email aubrey@aubreyhaze.com