You will not see me without filling this out (HONESTLY)!  No, I will NOT accept Private Delights, Preferred 411, etc. in place of this. This is used to ensure my safety ONLY! The information you share will NOT be shared or sold ever. In the event I am murdered or something; your information can be accessed by a trusted confidant with password protected access. Just don't be the guy that murdered me; you'll have zero notta to worry about! I am the only person involved in the actual screening process and it takes me about five minutes to check (most of the time.) If you have any questions, contact me! If you prefer, you may also download the form (here) and send via text or email.