Sexual Consent Form
Sexual Consent Form
Sexual Consent Form
over 18 years old. I further declare that this agreement is of my own free will and that neither
I nor anyone near or dear to me has been threatened with harm or embarrassment. Both
parties agree that this is a private agreement not to be disclosed to third parties except in
case of accusation of sexual misconduct by the agreeing party. If he/she shows or makes
public this agreement without accusation of sexual misconduct, it is agreed that he/she will
be liable for damages for invasion of privacy. By initialing ______I agree to engage in all or
some of the following consensual acts. Sexual fondling and kissing _____Oral copulation
intercourse _____with an FDA approved condom at all times. Other consensual sexual
conduct to be as specified:
I further declare that I am at this time not under the influence of alcohol, drugs or medication
time I do not intend to change my mind before the sex act or acts are over. However, if I do,
it is further understood that when I say the words “CODE RED” my partner agrees to STOP
INSTANTLY!
Signed:_________________________ Date:__________________________