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This form is copyright 1992 by Nicholas C. Weaver
(nweaver@ocf.berkeley.edu). It may be distributed in any
media as long as it remains completely intact and unchanged,
and this and the following notices are included.
Send bug reports and additional suggestions for
additional parts to nweaver@ocf.berkeley.edu. The latest
copy can be obtained by fingering nweaver.consent@ocf.berkeley.edu
Notice: This form is not a legal document, but is
intended for recreational humor only. There are no
guarantees associated with this what-so-ever.
This was created in a fit of boredom, when there is a
paper that I should have been writing.
Form#
314159
Version 1.0.2
Sexual Consent Form for two individuals
Whereas _________________, hereafter known as the first
party, and ______________, hereafter known as the second
party, being of consenting age and sound mind, hereby
consent to the following sexual acts, under the conditions
and limitations listed below within the time period between
_______ and _______ For more then two parties, see form
271828, a multi-party version of this form.
Part 1: Sexually transmitted diseases and pregnancy
prevention.
This form assumes that both parties are in good health
and free of known sexually transmitted diseases. If either
party consents to any sexual acts while knowingly carrying a
STD, that party agrees to any costs incurred as a result of
transmission of that STD, and to furthermore pay punitive
damages amounting to $_____.
Furthermore, each party agrees to acquire and properly
use the following methods of contraception and agrees to be
liable for failure of these contraceptive devices (check the
appropriate forms of contraception)
The first party agrees to obtain and use these forms of
contraception:
__ Condom ( __ with spermicidal lubricant)
__ Female condom (experimental. No liability is assumed for
pregnancy or STD transmission if this device fails).
__ Intrauterine device
__ Cervical Cap (__ with spermicide)
__ Diaphram ( __ with spermicide)
__ Birth control pill (Specify type:________)
__ Contraceptive sponge ( __ with spermicidal lubricant)
__ Spermicidal jelly or foam
__ Surgical sterilization ( __ Vasectomy __ Tubal ligation)
__ Norplant
__ RU 486 (Not legally available in the United States. Only
for use where legal)
The second party agrees to obtain and use these forms of
contraception:
__ Condom ( __ with spermicidal lubricant)
__ Female condom (experimental. No liability is assumed for
pregnancy or STD transmission if this device fails).
__ Intrauterine device
__ Cervical Cap (__ with spermicide)
__ Diaphram ( __ with spermicide)
__ Birth control pill (Specify type:________)
__ Contraceptive sponge ( __ with spermicidal lubricant)
__ Spermicidal jelly or foam
__ Surgical sterilization ( __ Vasectomy __ Tubal ligation)
__ Norplant
__ RU 486 (Not legally available in the United States. Only
for use where legal)
Part 2: Pregnancy clause
If both the party of the first part and the party of the
second part agree that pregnancy is a goal of the sexual
acts they wish to engage in, check here: __. If pregnancy
is anatomically impossible, check here: __. If either of
the previous two conditions don't apply, the following
clause applies.
In case of unwanted pregnancy, the parties agree to the
following actions: (Check all that apply)
__ Marriage
__ Abortion. Paid for by ____________
__ Adoption
__ DNA testing of fetus and both parties to insure that both
parties are the parents. Paid for by ____________
__ Single parentood by the following party:_________. In
this case, both parties are still financially responsible
for the offspring.
__ Single parenthood by the following party:________. This
party assumes sole fiscal responsibility.
Part 3: Consent of the first party.
The first party consents to the following sexual acts:
(Check all that the first party consents to. Any contact in
the form of XXX-XXX, the first part refers to the consenting
party, and the second part refers to the other party)
Although the first party consents to allow the following,
this is no way implies that any of the following acts will
be carried out.
__ Fully clothed bodily contact
__ Partially clothed bodily contact
__ Nude bodily contact
__ Hand-torso contact
__ Torso-hand contact
__ Hand-genital contact
__ Genital-hand contact
__ Hand-anal contact
__ Anal-hand contact
__ Oral-oral contact
__ Oral-oral contact involving the tongue
__ Oral-torso contact
__ Oral-torso contact involving the tongue
__ Torso-oral contact
__ Torso-oral contact involving the tongue
__ Oral-genital contact
__ Oral-genital contact involving the tongue
__ genital-oral contact
__ genital-oral contact involving the tongue
__ Oral-anal contact
__ Oral-anal contact involving the tongue
__ Anal-oral contact
__ Anal-oral contact involving the tongue
__ Masturbation in the presence of the other party
__ Sexual intercourse in the missionary position, on top.
__ Sexual intercourse in the missionary position, on the
bottom.
__ Sexual intercourse "doggy style"
__ Sexual intercourse in other positions:
____________________________________________________________
____________________________________________________________
____________________________________________________________
__ Anal intercourse.
__ Physically binding the other party.
__ Being physically bound by the other party.
__ Using the following devices on the other party: (The
party assumes all liability for malfunction or misuse of
these devices)
____________________________________________________________
____________________________________________________________
____________________________________________________________
__ Having the following devices used upon the party by the
other party:
____________________________________________________________
____________________________________________________________
____________________________________________________________
__ Other:
____________________________________________________________
____________________________________________________________
____________________________________________________________
Part 4: Consent of the second party.
The second party consents to the following sexual acts:
(Check all that the second party consents to. Any contact
in the form of XXX-XXX, the first part refers to the
consenting party, and the second part refers to the other
party). Although the second party consents to allow the
following, this is no way implies that any of the following
acts will be carried out.
__ Fully clothed bodily contact
__ Partially clothed bodily contact
__ Nude bodily contact
__ Hand-torso contact
__ Torso-hand contact
__ Hand-genital contact
__ Genital-hand contact
__ Hand-anal contact
__ Oral-oral contact
__ Oral-oral contact involving the tongue
__ Oral-torso contact
__ Oral-torso contact involving the tongue
__ Torso-oral contact
__ Torso-oral contact involving the tongue
__ Oral-genital contact
__ Oral-genital contact involving the tongue
__ genital-oral contact
__ genital-oral contact involving the tongue
__ Oral-anal contact
__ Oral-anal contact involving the tongue
__ Anal-oral contact
__ Anal-oral contact involving the tongue
__ Masturbation in the view of the other party
__ Sexual intercourse in the missionary position, on top.
__ Sexual intercourse in the missionary position, on the
bottom.
__ Sexual intercourse "doggy style"
__ Sexual intercourse in other positions:
____________________________________________________________
____________________________________________________________
____________________________________________________________
__ Anal intercourse.
__ Physically binding the other party.
__ Being physically bound by the other party.
__ Using the following devices on the other party: (The
party assumes all liability for malfunction or misuse of
these devices)
____________________________________________________________
____________________________________________________________
____________________________________________________________
__ Having the following devices used upon the party by the
other party:
____________________________________________________________
____________________________________________________________
____________________________________________________________
__ Other:
____________________________________________________________
____________________________________________________________
____________________________________________________________
Part 5: Termination of consent.
Either party can nullify their consent to any specific
act by saying "_______" to the other party, or otherwise
indicating refusal to consent. Either party can also
terminate all consent to sexual activities by saying
"______" to the other party, or by indicating in the
following manner that consent is no longer given:
____________________________________________________________
____________________________________________________________
____________________________________________
Part 6: Non-disclosure
__ Check here if both parties agree to the following. If
both parties don't agree, then both parties are free to
disclose all that occurs.
Both parties agree to only disclose the following
information concerning their sexual activities to others.
____________________________________________________________
____________________________________________________________
____________________________________________________________
____________________________________________________________
Any party who violates this section is liable for $___ in
punitive damages for each violation of this section.
Signed:
First party: _______________ Second party: _____________
Date: __________ Date: _________
Witnessed by: _______________
Date: _________
--
Nicholas C. Weaver
nweaver@ocf.berkeley.edu nweaver@soda.berkeley.edu
It is a tale, told by an idiot, full of sound and fury, .signifying nothing.
Everything I have learned has been by hearsay