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Guardian Form

Appointments with Lia St John

  • Details About You

  • Max. file size: 40 MB.
  • Contact Information



  • Verification

    Please provide any one of the following:
    1. Your Company Name, Company Website listing you as an employee
    2. Your handle(s) with P411
    3. Two companion references.

  • Companion References


    If you do not provide verifiable employment information, or a P411 handle, please provide the name, email and website address for at least two reputable companions you have spent time with.
  • Stage Name, Email, Website, Contact Number
  • Stage Name, Email, Website, Contact Number

  • Appointment Preferences


  • MM slash DD slash YYYY
  • :
  • Thank you for taking the time to fill out this form!

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