CONSENT AND AGREEMENT FORM FOR SUBMISSIVES OF MISTRESS DAHLIA

I, First Name Last Name , hereby acknowledge that I am voluntarily seeking to enter into a submissive relationship with Mistress Dahlia, and I understand that this relationship will involve various forms of dominance, submission, and potentially other activities as mutually agreed.
Email
example@example.com
Phone Number
Age
Occupation
* I am interested in the following activities with Mistress Dahlia (check all that apply): + Verbal humiliation + Role-playing + Cum eating instructions + Chastity training + Jerk-off instructions + Gentle mommy female domination + Asshole training and stretching + Other (please specify): * I have the following boundaries and limitations (please specify):
I have the following boundaries and limitations (please specify):
I am interested in the following activities with Mistress Dahlia (check all that apply):

Domme Girlfriend ExperienceVerbal HumiliationRole-playingCum Eating InstructionsChastity TrainingJerk-off InstructionsAsshole Training and StretchingVideo CallsPhone CallsSextingCustom PicturesCustom VideosGentle Mommy Female DominationSissificationBDSMCock and Ball TortureSmall Penis HumiliationOther
I am willing to pay within the following price range per session:
I am interested in the following package options:

One-time Session5 Pack of SessionsBasic (30 minutes per week)Premium (1 hour per week)Elite (2 hours per week)Other
I hereby consent to engage in the activities listed above with Mistress Dahlia, and I understand that I can withdraw my consent at any time. I agree to communicate openly and honestly with Mistress Dahlia about my desires, boundaries, and limitations. I understand that Mistress Dahlia reserves the right to terminate our relationship at any time if she feels that I am not respecting her boundaries or if our relationship is not mutually beneficial. I agree to keep all interactions with Mistress Dahlia confidential and not to disclose any information about our relationship to third parties.
Your Signature:

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SAFETY AND EMERGENCY CONTACT
I have the following emergency contact information:
Name
+ Phone Number
I understand that Mistress Dahlia will prioritize my safety and well-being at all times, and I agree to inform her of any medical conditions or concerns that may affect our interactions.
I, First Name Last Name , hereby sign this consent and agreement form, acknowledging that I have read and understood the terms and conditions outlined above.
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Please return this form to Mistress Dahlia, and we will discuss the details of our relationship and create a customized plan tailored to your needs and desires.
CASHAPP $5 SUBMISSION DONATION

https://cash.app/$ILOVEYOUMISTRESS
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SAFETY AND EMERGENCY CONTACT

CASHAPP $5 SUBMISSION DONATION