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Boston Dominatrix

Mistress Janca

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Apply for an Appointment with Janca

Please read about Mistress Janca before applying for an appointment.

To streamline the communication/application process

Fill out this form completely. However, comments at the end are optional. Please be sure to type your e-mail address correctly and to submit all information as requested, as I need to e-mail you back after receiving your application before calling you. Double-check your e-mail typing so it is exact. No responses are promised to those who provide incomplete information, mistype their e-mail address or deviate greatly from my qualifications. Exceptions are considered in rare cases. The best applicants are the ones who can follow directions!

Please be all of these:

First Name:

Last Name:


This and the following information is kept confidential. I cannot accommodate anonymous entries.

Age:


Please be over 34.

Marital Status:

Married Single Divorced

Willing to Offer Deposit:

I receive a steady stream of applications for a first appointment with me. While most of these are sincere requests for my time, some, unfortunately, are not. I need a way to separate serious applicants from frivolous ones, a method which is fair both to those serious applicants and to me. Would you therefore be willing to make a small advance deposit on your very first appointment with me? I will give a higher priority to first-time applicants who make such a small gesture of their sincerity and seriousness than to those who do not.
Yes No

Daytime Phone Number:


I prefer office numbers that can be called between 11:30am-5:00pm Eastern time. The larger your time frame, the easier it is for me to call you. Exact times are hard for me to accommodate. But will try. Any message left will be discreet.

This Phone Number Is:

Office Home Other
No cell phones or 800 numbers for initial calls. You may include cell phone if office number is also provided. If you have a hotel phone, please mention that in the "Additional Comments." I can sometimes call hotel phones after 7:00pm but prefer not to make home calls past 6:00pm.

Best Time to Call:


My preferred range is a time BLOCK from 12 to 5pm. Calls before 10:30am or after 6:30pm are difficult for me to accommodate also exact times are hard to accommodate.

Possible Appointment Times:


If you are outside of the Boston area, please be sure to tell me when you plan to visit the Boston area.

E-Mail Address:


Be sure to type this correctly. Re-check your entry..

Was my web page informative and was it on target with your interests:


It is my personal belief that the best experiences from sessions arise when there is a suitable match between the "domme" and the "sub".

Additional comments:


If you have any extenuating circumstances associated with your application that you feel need explaining, please note here. For instance some of my physician applicants can only be called at specific times or other applicants wish me to identify myself in a special way. Take note, I will respond to you with discretion. If someone else also has access to your e-mail account, please inform me of that. Communication with you will be discreet and will focus on the logistics connected with setting up your first appointment. I will refrain from indiscreet details in my communication to you. Unless you have a medical limitation problem that needs to be mentioned, physical descriptions about your appearance need not be mentioned.