Contact

Booking Form

Please submit your request using my booking form below.

If you wish to return later to complete, just scroll all the way to the bottom, click the option to “Save and Resume” and I’ll email you a unique link to pick back up later.

Name

First

Last

Phone #

Date of Birth

Preferred Contact Method

Phone (Call)
Phone (Text)
Email

Tell me a little about yourself

Hobbies, pet peeves, guilty pleasures?

Session Type

Session Length

Preferred Date

Preferred Time

little Provider Type

Alternative Dates

If original date is not available

Screening Preference

How did you find Persephone?

Any special requests?

Outfits, snacks (other than myself), etc

Acknowledgement

I understand Persephone's cancellation and deposit policy

Method of deposit

E-gift card
E-transfer

To be sent to persephonegrace1@gmail.com

Mailing list

Subscribe to Persephone's newsletter

Save and Resume Later