Reserve Your Date With Kate

If you are ready to start your adventure with me, please fill in this reservation form or email me directly at katelayne@safeoffice.com with all of the requested information.

Please note that 2 forms of ID are required for screening purposes.

I will do my best to get back to you as soon as I can. I can’t wait to meet you!

First and Last Name

Age

Residence (City/State)

Employer

Job Title

Company Website

2 Forms of ID Required for Screening: (i.e. Drivers License, Passport, Business Card)

Phone

Do You Accept Text Messages

Yes No

Membership Handles

References

Where Did You Find Me?

Preferred Meeting Date and Time

Preferred Duration

Preferred Location

Other Info