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CONSENT FORM SIGNED BEFORE SEXUAL INTERCOURSE the undersigned female (hereafter refered to as the "serewee") about to enjoy sexual intercourse with This certiies that, | (hereafter referred to as the “screwer") ym above the lawful age of consent. I am in my right mind and not under the influence of ‘any narcotic or alcoholic substances ‘The aforementioned screwer need not use any force, threats, coercion or promises to influence me. Furthermore |, the screwee, am in no fear of him whatsoever, and do not expect or wish to marry him. | do not know if he is married or not, and | do not care. | am neither asleep nor drunk. I'm entering this relationship with him because | love it and want it ‘as much as he does. In the event whereby | receive the full satisfaction, which I expect, | declare in advance the capacity and wilingness to further participation as soon as time permits. In addition, | will not act 23 a witness against him nor wil I fle charges against him should | fall pregnant, contract. a sexual disease or fee! that he is violating any legislation, moral, legal or otherwise. ‘Signed naked before jumping into bed on this day of the, Month, Inthe year 2004 Signature of screwee: Date of birth: Date of conduct:

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