Informed Consent Statement
I am requesting and at my own risk participating in a BDSM session. I understand activities within the session will be conducted by mutual consent. I accept sole responsibility to: (a) decide what activities I wish to participate in during the session and decide what my boundaries are; (b) communicate these decisions clearly before the start of the session; (c) agree to an appropriate safe word or other signal to request an activity stop; (d) signal immediately, any unexpected fatigue, shortness of breath, chest discomfort, nausea, pain or discomfort. I understand I can discontinue participation at any time during the session, without prejudice against me, beyond fees or tribute for the session.
I understand that any activity undertaken during the session is voluntary and at my own risk. I agree to indemnify and hold harmless all participants in the session from all claims of liability, injury, death, property loss or damage, attorney's fees and costs, and I agree to reimburse them for any such claims of same they may have.
By checking the box below and submitting this application, I acknowledge I have read, understood and agree to the contents of this form, and I confirm that all information given by me is correct to the best of my knowledge. I understand that the session I am requesting is the context of a commissioned art piece, that no sex is involved in these sessions, that I am a consenting adult over the age of 21, and that I am not a law enforcement officer or federal law enforcement agent.
I agree to the Informed Consent Statement *