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I, ________________________________, 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.
HERE
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 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 sex 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
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