Ready to meet kate?

Screening via P411 requires at least 2 recent active independent provider OKs in the last 6-9 months

Once you fill out this form, please make sure to send a pre-screening request or appointment request via P411 to confirm your account.

All information is treated carefully and with discretion. You will never be contacted without permission.

Name

First Name

Last Name

Email

All correspondence will be via email using the address you provide here. I will provide a phone number the day of a confirmed appointment.

Phone

for screening only, no internet or burner phones

(###)

###

####

Age:

City/State of Residence:

Occupation:

Preferred411 Handle:

City Requested for Appointment

Incall or Outcall?

Outcall

Incall* *requires additional fee and deposit, depends on availability

Preferred Date

MM

DD

YYYY

Time:

Hour

Minute

Second

How did you find Kate?