Let's Get Acquainted To request a date, please fill out the contact form below. If you prefer, you may also email me all the required information at dateavarose@gmail.com First & Last Name * Age & Ethnicity * Email * Double check for accuracy - if there's a typo I can't reach you Phone * I do not call or text you without prior notice (###) ### #### Preferred Date * MM DD YYYY Preferred Time * Hour Minute Second AM PM Preferred Contact Method (when selected, I will use this method to reach out without prior notice) * Text Email How did you find me? * Tryst, X, etc. Which city would you like to see me in? * Where? * For first time meetings, I can only do outcalls at hotel and not private residence. Incall Outcall FMTY How long would you like to get together? * Preferred Screening Method * For my safety, I require screening for all new clients without exception. Companion Referrals Government-Issued Identification Professional Verification Deposit Preference Cash App Venmo BTC Uber Gift Card Other (please specify) I have reviewed the Etiquette page, agree to the deposit and all policies. * Yes! Tell me about yourself and tell me anything else you'd like me to know! * Thank you! I will be in touch with you shortly.