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Fetish Consent Worksheet

By Unknown Author

This worksheet allows for a more open communication between master and slave. By consenting to the participation in various fetish acts both individuals can move forward in their sexual adventures with a clear idea of what each one expects. It's a tool to open discussion between partners and a chance for master and slave to create boundaries limits and to feel more comfortable in their roles.

Yes No Maybe Fetish Activities
______ ______ ______ 24/7 (Total Power Exchange)
______ ______ ______ Age Play
______ ______ ______ Anal plug (public under clothes)
______ ______ ______ Anal plugs (large)
______ ______ ______ Anal plugs (small)
______ ______ ______ Anal Sex (Giving)
______ ______ ______ Anal Sex (Receiving)
______ ______ ______ Arse (Ass) Play
______ ______ ______ Asphyxiaphilia (Breath Play)
______ ______ ______ Being Serviced (sexual)
______ ______ ______ Bi-sexual play
______ ______ ______ Biting
______ ______ ______ Blindfolds
______ ______ ______ Blood
______ ______ ______ Body Hair
______ ______ ______ Bondage
______ ______ ______ Bondage with Rope
______ ______ ______ Bondage (heavy)
______ ______ ______ Bondage (light)
______ ______ ______ Bondage (multi-day)
______ ______ ______ Bondage (public, under clothes)
______ ______ ______ Branding
______ ______ ______ Breast whipping
______ ______ ______ Breast/Nipple Tortur
______ ______ ______ Candle Wax
______ ______ ______ Caning
______ ______ ______ Chains
______ ______ ______ Chastity Devices
______ ______ ______ Chinese Balls/Ben Wa Balls/Anal Beads
______ ______ ______ Clamps
______ ______ ______ Cling Film
______ ______ ______ Clothespins
______ ______ ______ Cock and Ball Tortur
______ ______ ______ Cock worship
______ ______ ______ Collar and Lead/Leash
______ ______ ______ Collars (worn in private)
______ ______ ______ Collars (worn in public)
______ ______ ______ Coprophilia (Shit Play)/Scat
______ ______ ______ Corsets (waist reduction)
______ ______ ______ Corsets (wearing casually)
______ ______ ______ Crawling
______ ______ ______ Cross Dressing
______ ______ ______ Cuffs (leather)
______ ______ ______ Cuffs (metal)
______ ______ ______ Cupping (Suction of the Skin)
______ ______ ______ Dacryphilia (Arousal from Tears)
______ ______ ______ Defilement Seeing a Partner Dirty or Wet
______ ______ ______ Denim
______ ______ ______ Depilation/Shaving
______ ______ ______ Dildos (Handheld & Strap-ons)
______ ______ ______ Discipline
______ ______ ______ Doctor/Nurse Fetish
______ ______ ______ Domination
______ ______ ______ Double penetration
______ ______ ______ Ears
______ ______ ______ Edge Play (Whartenburg Wheel)
______ ______ ______ Electrotorture (EMS TENS units)
______ ______ ______ Enemas (for cleansing)
______ ______ ______ Enemas (retention/punishment)
______ ______ ______ Enforces chastity
______ ______ ______ Erotic dance (for audience)
______ ______ ______ Examinations (physical)
______ ______ ______ Exhibitionism (friends)
______ ______ ______ Exhibitionism (strangers)
______ ______ ______ Exhibitionism/Sex in Public
______ ______ ______ Eye contact restrictions
______ ______ ______ Face Fucking
______ ______ ______ Face slapping
______ ______ ______ Fantasy rap
______ ______ ______ Feeding Master
______ ______ ______ Fear (being scared)
______ ______ ______ Feathers
______ ______ ______ Fire Play
______ ______ ______ Fisting (Anal)
______ ______ ______ Fisting (vaginal)
______ ______ ______ Following orders
______ ______ ______ Food Play
______ ______ ______ Foot worship
______ ______ ______ Forced dressing
______ ______ ______ Forced masturbation
______ ______ ______ Forced nudity (private)
______ ______ ______ Forced servitud
______ ______ ______ Full head hoods
______ ______ ______ Gags (cloth)
______ ______ ______ Gags (inflatable)
______ ______ ______ Gags (phallic)
______ ______ ______ Gags (rubber ball)
______ ______ ______ Gags (tape)
______ ______ ______ Gangbangs
______ ______ ______ Genital sex
______ ______ ______ Given away to another (temp)
______ ______ ______ Hair Pulling
______ ______ ______ Hairbrush spankings
______ ______ ______ Hand jobs (giving)
______ ______ ______ Hand jobs (receiving)
______ ______ ______ Handcuffs/Shackles
______ ______ ______ Harnessing (leather)
______ ______ ______ Harnessing (rope)
______ ______ ______ Having food chosen for you
______ ______ ______ Having food fed to you
______ ______ ______ Head (give cunnilingus)
______ ______ ______ Head (give fellatio)
______ ______ ______ Head (recive cunnilingus)
______ ______ ______ High heel wearing
______ ______ ______ High Heels
______ ______ ______ Homage with tongue (non-sexual)
______ ______ ______ Hoods
______ ______ ______ Hot waxing
______ ______ ______ Humiliation
______ ______ ______ Humiliation (private)
______ ______ ______ Humiliation (public * in group)
______ ______ ______ Ice cubes
______ ______ ______ Immobilization
______ ______ ______ Infantilism/Diapers
______ ______ ______ Initiation rites
______ ______ ______ Interrogations
______ ______ ______ Japanese Rope Bondag
______ ______ ______ Kidnapping Kneeling
______ ______ ______ Klismaphilia (Douching/Enema)
______ ______ ______ Knife/Needle Play
______ ______ ______ Lace/Lingerie
______ ______ ______ Lactation
______ ______ ______ Latex
______ ______ ______ Leather
______ ______ ______ Leather clothing
______ ______ ______ Leather restraints
______ ______ ______ Lectures for misbehavior
______ ______ ______ Licking (non-sexual)
______ ______ ______ Licking Pussy to please Master
______ ______ ______ Lickingn cock of another for Master
______ ______ ______ Lingerie (wearing)
______ ______ ______ Making Home "Movies"
______ ______ ______ Manacles & Irons
______ ______ ______ Masks
______ ______ ______ Masochism
______ ______ ______ Massage (giving)
______ ______ ______ Massage (receiving)
______ ______ ______ Master/Slav
______ ______ ______ Masturbation
______ ______ ______ Mind control
______ ______ ______ Mind Fuck
______ ______ ______ Modeling for erotic photos
______ ______ ______ Mutual Masturbation
______ ______ ______ Name calling
______ ______ ______ Name change (during scene)
______ ______ ______ Nipple clamps
______ ______ ______ Nipples
______ ______ ______ Oral Fixation
______ ______ ______ Oral Sex (Giving)
______ ______ ______ Oral Sex (Receiving)
______ ______ ______ Oral/anal play (rimming)
______ ______ ______ Orgasm control
______ ______ ______ Orgasm denial
______ ______ ______ Outdoor scenes
______ ______ ______ Outdoor sex
______ ______ ______ Over-the-knee spanking
______ ______ ______ Pain (mild)
______ ______ ______ Pain (moderate)
______ ______ ______ Pantyhose/Stockings
______ ______ ______ Participating in Erotic Photography
______ ______ ______ Phone sex
______ ______ ______ Piercing (permanent)
______ ______ ______ Piercings (tempoary)
______ ______ ______ Pinching
______ ______ ______ Play Piercing
______ ______ ______ Podophilia (Foot Fetish)
______ ______ ______ Pony Slav
______ ______ ______ Power Exchange
______ ______ ______ Prison scenes
______ ______ ______ Prostitution (public pretense)
______ ______ ______ Public exposur
______ ______ ______ Punishment scene
______ ______ ______ Pussy whipping
______ ______ ______ Religious (Nunplay Priest Playing)
______ ______ ______ Restrictive rules on behavior
______ ______ ______ Retifism (Shoes or Boots)
______ ______ ______ Riding crops
______ ______ ______ Rimming
______ ______ ______ Rituals
______ ______ ______ Role Playing
______ ______ ______ Rope body harness
______ ______ ______ Rubber
______ ______ ______ Rubber/latex clothing
______ ______ ______ Sadism
______ ______ ______ Saran wrapping
______ ______ ______ Scent
______ ______ ______ Scratching-getting
______ ______ ______ Scratching-giving
______ ______ ______ Semen covered with
______ ______ ______ Sensory Deprivation
______ ______ ______ Serving
______ ______ ______ Serving as a maid
______ ______ ______ Serving as butler
______ ______ ______ Serving as Furnitur
______ ______ ______ Serving as Slave to others (at Masters directs)
______ ______ ______ Serving as waitress
______ ______ ______ Serving orally (sexual)
______ ______ ______ Sex During Menstruation
______ ______ ______ Sexual deprivation (short term)
______ ______ ______ Shaving (pubic hair for humiliation )
______ ______ ______ Shaving (pubic hair)
______ ______ ______ Skinny-dipping
______ ______ ______ Sluttish clothing (private)
______ ______ ______ Sluttish clothing (public)
______ ______ ______ Spandex clothing
______ ______ ______ Spanking
______ ______ ______ Spanking/Paddling
______ ______ ______ Speech restrictions (when what)
______ ______ ______ Spreader bars
______ ______ ______ Standing in corner
______ ______ ______ Stocks
______ ______ ______ Straight jackets
______ ______ ______ Straps (leather)
______ ______ ______ Suspension (horizontal)
______ ______ ______ Suspension (inverted)
______ ______ ______ Suspension (upright)
______ ______ ______ Swallowing semen
______ ______ ______ Talking Dirty
______ ______ ______ Tattooing (permanent)
______ ______ ______ Teasing
______ ______ ______ The Rack/Medieval Devices
______ ______ ______ Tickling
______ ______ ______ Tongue Fetish
______ ______ ______ Toys
______ ______ ______ Transvestism
______ ______ ______ Triple penetration
______ ______ ______ Urolagnia (Water Sports/Urine)
______ ______ ______ Vaginal dildo
______ ______ ______ Vanilla sex
______ ______ ______ Vibrator on genitals
______ ______ ______ Vibrators
______ ______ ______ Video (watching others)
______ ______ ______ Voyeurism (being watched)
______ ______ ______ Voyeurism (watching others)
______ ______ ______ Warms oil (on genitals)
______ ______ ______ Water tortur
______ ______ ______ Wax play
______ ______ ______ Waxing (hair removal)
______ ______ ______ Wearing symbolic jewelry
______ ______ ______ Whipping (heavy)
______ ______ ______ Whipping (light)
______ ______ ______ Whipping (moderate)
______ ______ ______ Whips
______ ______ ______ Wooden paddles

MASTER'S CONDITIONS

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SLAVE'S CONDITIONS

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MASTER'S SIGNATURE ________________________________________________________________
SLAVE'S SIGNATURE ________________________________________________________________
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Date Page Edited by
Black and Red Productions Company
08/21/2009 06:24 AM -0400