Application

Manor will not see anyone under the age of 21. If you look like you are under the age of 25, make sure you have a valid state issued id (that belongs to you) at the timeof your session.

Name Age

 E-mail address     Gender:  Male Female  

Phone #    Marital Status:  

 

Overnight and extended sessions are available upon request.

Rates will vary.

Your Interests

Bondage, Discipline and Torture

 

Rope Bondage

Leather Arm binders

Plastic Wrap

Thera Band (latex Strips)

Leather Restraints / Collars

Straight Jacket

 

Cock and Ball Torture

Parachute w/ weights

Ball Stretcher

Electric Cock Strap

Clothes Pins

N/A

 

Write your bondage fantasy or things you would like to try.

 

S&M

What kind of pain do you desire?

Spanking

Flogging

Whipping Caning

OTK (over the knee)

Suede

Ratan Canes

Wooden paddles

Elk

Fiberglass Canes

Hand

Bull

Leather Straps

Leather Paddles

Cow

Rubber Paddles

N/A

Deer

N/A

 

 

Rubber

 

 

N/A

 

NT

Nipple Clamps

Weighted Clamps

Clothes Pins

Mistress Pinching

N/A

 

CBT

Cock and Ball Torture, Describe what you like, want desire and need.

Suspension

Feel like hanging around for a while?

I'm not interested   How much experience do you have?  

Explain your experience, if you have some.

Be a Sissy Maid

Is this an interest?

Be A Sissy,

Learn to please Mistress

through Cleaning.

Have you served in this manner before? Do you have your own uniform?

  Comments:


 

Medical Clinic

Available procedures:

Castings

Full Examinations 

Probing Enemas Sounds Plugs

 Electrical Stimulation 

 Not Interested

Describe your medical fantasy.

Sensual Torture

Describe your sensual torture scene.

Please list all health problems and all medications you are on.

List all health problems.

List all Medicines your are taking.