• Roxy Black ~ Professional Love Toronto ~ E-mail ~ xoxroxyblack@hotmail.com
  • Nite Flirt 1-800-863-5478 ext: 11202654
  • Text / WhatsApp only ~ (647) 639-6523

 

 

  • Screening information is required. Please fill out all sections !!! Remember the more information you provide me with the easier it is to book our engagement. All personal information will be held in the strictest confidence and destroyed once screening is complete. If you don't feel comfortable submitting your information through this site you can send it through e-mail (xoxroxyblack@hotmail.com) or text (647-639-6523).

First & last name

Email

Phone Number

Appointment Date

Appointment Time

Appointment Length

Address - Hotel/Private Residence or Incall

LinkedIn / Identification

Special requests/Type of appointment (Fetish/GFE)/ Toys