Consent Form

I consent to having a sexual interaction with Victor *

Yes

No

Desired activities (the more you mention, the more I can take them into account) *

Prohibited activities / Hard limits *

Gender at birth *

Female

Male

I am able, willing and ready to say no or stop *

Yes

No

I understand that I can stop or withdraw my consent at any time, and when i do, all role-playing, physical and sexual activities will immediately cease, and any permissions I previously granted will end. *

Yes

No

I consent to oral sex *

Yes

No

I consent to vaginal penetration (with condom) *

Yes

No

I consent to anal penetration (with condom) *

Yes

No

I confirm that I do not have any sexually transmitted diseases or other infectionous diseases *

Yes, I do not have any

No, I do have

Medical or psychological issues (e.g., heart problems, allergies, injuries, traumatic experiences) to take into account *

How did you end up with me, Through who, or where did you find me? or what did you type into google or ai *

Additional Message:

Name: *

E-mail: *

Phone number *

Date of signing *