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NEXT STEP: Fill out form & Go To Kinks
Please fill out all the questions below.

Then, the continue button will appear below.

NEXT click the button to continue to the kinks section.
Go To Kink Form
TO DO: Complete Informed Consent
Please make a choice on the Informed Consent Agreement.
Please check the "Sign Informed Consent" box indicating you have signed this agreement.
TO DO: Complete Legal Agreement
Please make a choice on the Legal Notice Agreement.
Please check the "Sign Legal Notice" box indicating you have signed this agreement.
TO DO: Fill Out Planning Your Scene
TO DO: Fill Out Safety Information
TO DO: Fill Out Medical Section
TO DO: Fill Out Limitations Section
TO DO: Fill Out Your Experiences Section
Go To Kink Form
Informed Consent & Legal Notice
I am requesting and at my own risk participating in a BDSM scene.
I understand activities within the Scene will be conducted by mutual consent.
I have disclosed all my medical conditions, ailments, and medications, to the best of my knowledge.
I accept sole responsibility to;
(a) decide what activities I wish to participate in during the Scene and decide what my boundaries are.
(b) communicate these decisions clearly before the start of the Scene.
(c) agree to an appropriate safe word or other signals 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 Scene, without prejudice against me, beyond fees or tribute for the Scene.

LIMITS OF LIABILITY;
I understand that any activities undertaken during the Scene are voluntary and are at my own risk.
I agree to indemnify and hold harmless all participants in the Scene 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.

AGREEMENT;
By submitting this scene 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 there are no illegal activities or sex involved in Mistress Glow’s scenes, I am a consenting adult over the age of 21 and I am not a law enforcement officer or federal law enforcement agent.
 *
* 
Legal Notice
Professional Dominas are not prostitutes.

The Practice of BDSM or sensual sadism isn't prostitution.

Sexual services are neither implied nor offered here.

If a prostitute is what you desire, please do not contact Me.

If you do choose to contact me, it is understood that:
you do so as an adult over 21 years of age.
you are responsible for your own actions.
you have read and agree to My rules and, you're doing so by your own free will.
We play safe, sane and consensual ALWAYS.

Extensive sanitary measures are always taken.
 *
* 
Planning Your Scene
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Safety
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Medical
Please answer the following. If the question does not apply, enter "None" in the box.
 *
 *
 *
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Physical Limitations
Do you have difficulty with any of the following activities?
 *
 *
 *
 *
Your Experience
 *
 *
 *
 *
 *
 *

Go To Kink Form
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Can I annotate fields to indicate their intended use?

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Your text will appear when the user hovers over or clicks on the question mark icon next to that field on the Add Record and Edit Record pages.
 
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