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COITUS CONSENT
COITUS CONSENT

THE FOLLOWING IS A WRITTEN CONTRACT THAT IS REQUIRED

UNDER THE NEW YES MEAN YES LAWS.

Please note the following yes=yes ; yes = no ; no=no

Following participants; PRINT full legal names & SIGN

1.)___________________________________________________
2.)___________________________________________________
3.)___________________________________________________
4.)___________________________________________________
5.)___________________________________________________

ADDITIONAL PARTICIPANTS WILL REQUIRE A “GANG BANG RIDER TO THE

CONTRACT”. USE OF FOREIGN OBJECTS MUST BE LISTED IN A
“OBJECTS OF USE ADDENDUM”. S&M AND BONDAGE REQUIRE A “LIABILITY
TO PERSONS AND NON STANDARD COITUS ADDENDUM”

ACTS TO BE PERFORMED: PLEASE “X” WHAT YOU AGREE TO,

THEN PLACE YOUR INITIALS BY THE X:

( ) Standard Coitus with no position shifts

( ) Standard Coitus with a open option position change.

If timing for change is relevant please indicate:
_________________________________________________
_________________________________________________
_________________________________________________

( ) IS USE OF ORAL EQUIPMENT AUTHORIZED?

IF SO PLEASE INDICATE TIMING AND FREQUENCY:
_________________________________________________
_________________________________________________
_________________________________________________

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COITUS CONSENT
( ) WILL MULTIPLE ORIFICES WILL BE USED?

PLEASE INDICATE WHICH ORIFICES WILL BE USED AND TIMING:

( ) MOUTH
( ) VAGINA
( ) ANAL
( ) ANAL & VAGINA SIMULTANEOUSLY
( ) ANAL & MOUTH SIMULTANEOUSLY
( ) MOUTH & VAGINA SIMULTANEOUSLY
( ) MOUTH, ANAL & VAGINA SIMULTANEOUSLY

PLACEMENT OF SEMEN:

( ) IN MOUTH WITH A SWALLOW

( ) IN MOUTH WITH OUT A SWALLOW
( ) ON BELLY OR BACK
( ) IN CONDOM ONLY
( ) IN VAGINA
( ) IN ANUS
( ) ON FACE
( ) IN HAIR
( ) OTHER (PLEASE LIST)___________________

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COITUS CONSENT
ADDITIONAL ISSUES

IF DURING ACT OR ACTS THE FOLLOWING CAN OCCUR WILL IT BE

INTERRUPTED AS RAPE? PLEASE X AND INITIAL YOUR RESPONSES:

1.) ACCIDENTAL DISCHARGE INTO ANY ORIFICE; YES ( ) NO ( )

2.) NEGLIGENT DISCHARGE INTO ANY ORIFICE; YES ( ) NO ( )
3.) COMPLETE LOSS OF CONTROL OF DISCHARGE; YES ( ) NO ( )
4.) HAND TO BACK OF HEAD; YES ( ) NO ( )
5.) SPANKING; YES ( ) NO ( )
6.) NEVER CALLS YOU; YES ( ) NO ( )
7.) BE UNDER INFLUENCE OF FLORIEN SUBSTANCE AND NOT NOTIFY
PARTICIPANTS; YES ( ) NO ( )
8.) A PREGNANCY OCCURS AND MALE WANTS IT ABORTED; Y( ) N ( )
9.) PREGNANCY OCCURS; YES ( ) NO ( )
10.) YOU DON’T KNOW OR REMEMBER NAMES; YES ( ) NO ( )
11.) HE/SHE DOESN’T KNOW OR REMEMBER NAMES; YES ( ) NO ( )
12.) OTHER PARTY IGNORES YOU AFTER; YES ( ) NO ( )
13.) OTHER PARTY USED DEROGATORY TERMS AFTER; Y ( ) N ( )
14.) YOUR REPUTATION IS RUINED BY RUMORS; YES ( ) NO ( )
15.) YOU ARE FILMED; YES ( ) NO ( )
16.) FILM IS MADE PUBLIC; YES ( ) NO ( )
17.) A ASS TO MOUTH MANEUVER IS USED; YES ( ) NO ( )
18.) FEEL GUILTY; YES ( ) NO ( )
19.) SUFFER BUYERS REMORSE; YES ( ) NO ( )
20.) YOUR PARENTS DISCOVER ACTIVITY; YES ( ) NO ( )

ONE COITUS CONSENT MUST BE COMPLETED BY EVERY PARTICIPANT. NO

SUBSTITUTIONS ARE ALLOWED. BE CERTAIN YOU HAVE ALSO COMPLETED
YOUR ADDENDUMS IF PLANNED ACTIONS FALL OUTSIDE “A NORMAL
COITUS” EVENT.

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