Activity Consent Form

(submission errors have been corrected)

Please complete the following:







    EasyMediumHard


    EasyMediumHard




    NoviceModerate ExperienceSeasoned Player




    External TouchingButt PlugsDildosVibratorsFucking MachinesStrap-ons AnalStrap-ons OralDilationInflatablesFisting


    Belt StrapsBody BagHead Hoods-Open eyes/mouthHead Hoods-Full CoverageRope (leaves marks)Furniture (Bench/Cross)Heavy Pressure (under mattress)Spreader BarsBoxing/ClosetingHeavy Pressure (wrestling pins)Standing in CornerCagesMetal CuffsStraightjacketChains MummificationStrugglingHand BondageFoot BondagePlastic WrapSuspensionPredicament BondageTongue BondageHair BondageVacuum BedExtended Restraint Durations - over 1 hour)


    Covering Mouth with HandsObject Smothering (pillow, etc.)Gas MasksSmoke Play (CBD or THC)Forced Breath Release (breath stealing)Strangulation


    Alkyl NitritesForced InhalationForced Intoxication


    AbrasionClothespinsPluggingBondage (ropes, cock rings or leather)Crushing (no permanent damage)SlappingCatheters (internal)Cupping/SuctionUrethral Dilation (Sounds)Kneeing (Groin)Weights


    Diapering - DisposableDiapering - ClothPlastic PantsExtended WearingOthers Wearing


    CorsetsMake-upWearing Fake BreastsDollificationHigh HeelsPantiesLingerieServing as MaidWigs


    Forced AnalForced MasturbationForced NudityForced Pocket PussyForced "Other"


    Ball GagPhallicCloth (i.e., panties)RopeHumiliatorTape


    ChainmailLeatherPVC / VinylFeathersNon-Animal OnlyFurNylonLatexPlastic WrapSpandex


    Catheters - ExternalCatheters - InternalWartenberg PinwheelDental InstrumentsSpeculumsRetention Enema (inflatable)SyringesTongue Depressor


    No Nipple Stimulation Please!Light TouchingClamps - LightClamps - ModerateClamps - StrongSuction PumpingWeights


    ChastityMasturbation InstructionDelayed Orgasm (edging)Ruined OrgasmForced Multiple Orgasm


    Bathroom RestrictionsEye-Contact RestrictionsProtocolBeggingFinancial DominationPunishment SceneClothing Choice (Mistress Picks)Following OrdersServitudeCollarsForced ExerciseSpeech RestrictionsCrawlingFurniture RestrictionsDiaperingKneelingTease & DenialDiet ControlLeashesPosition Training/Mental Bondage


    Age Play - BabyAge Play - School ageInterrogationsPsychiatristPrison ScenesMedical ScenesReligious ScenesOffice ScenariosSuperhero/Super VillainBlackmailKidnappingPuppy PlayPony PlayCostumesTheatrical MasksLoving EmphasisDistant EmphasisFear EmphasisErotic HypnosisStripperHuman Furniture

    No Pain PleaseLow PainModerate PainStrong Pain


    BitingCanesCropsSpankingPaddlingFloggingSpanking - HandHair PullingFace SlappingFoot TortureTramplingPinchingPiercing (Temporary)Whipping Genitals


    Cupping / SuctionIce CubesTicklingMassagingEar TouchingIcy Hot - chemicalHot WaxScratchingElectricity T.E.N.S unitElectricity Violet Wand


    BlindfoldsLight Stimulation (LED Frequencies)Ear PlugsHigh Volume or Headphones - Music Stimulation


    Dirty NamesDirty Talk PerformingDirty Talk ListeningHumiliation IntelligenceHumiliation Physical AppearanceHumiliation Small PenisSexual Praise - ComplimentsStory Telling


    Golden Showers - On BodyGolden Showers - On Face"Nectar Consumption"Spitoon - Spit ConsumptionB.S. / Full ToiletRainbow Play


    ArmpitBody Scent Training (smelling Mistress)Foot WorshipBoot WorshipShoe WorshipVerbal Worship (compliment me)Smothering (Facesitting with panties)