Please fill out this form to begin your Booking with us!

We need some basic information from you, as well as a way to contact you.
When completed, please click CONTINUE to upload an image of yourself for verification purposes.
After that, we will contact you via email to complete the next step to finish the booking.

Your Name
(What do we call you?)

Your Email Address
(We will reply to this address)

Location
(City/Town)

Phone Number
(With Area Code)

Your Sex
(Do you have an innie or an outie?)
Male Female

Your Age
(So we can match your XP level)
18-30 31-50 51-60 60+

What would you like?
(Get ready to feel good!)
Cuddle Rub Cuddle+Rub

Preferred Sex of your Therapist
(Which type of human would you like?)
Male Female

Additional Comments or Requests
(Fill us in on your wants or needs. Please no links)

We Respect Your Privacy

This information is used for bookings only, and we will NOT share your information or image with ANYONE outside of the CuddleRubs administration.