Sexual Consent Form

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BDSM & Sexual Consent Form & Right of Privacy Agreement

I, ________________________________, slave, hereby declare under penalty of perjury


that I am

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

(mutual) ______Oral copulation (unilateral) by_____________________only Sexual

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

and agree to engage in consensual with: __________________________________At this

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:__________________________

Signed:_________________________ Date:__________________________

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