BDSM Consent form

Consensual Power Exchange Agreement

cinema for sinners wanted a copy of this form posted.

Consensual Power Exchange Agreement.

Participant A Name: ___________________________

Participant B Name: ___________________________

Participate C Name:

__________________________

This agreement confirms that all activities are entered into willingly, knowingly, and with full consent by all parties.

1. Age & Capacity Confirmation

I confirm that I am 18 years or older and legally able to consent.

☐ Yes  ☐ No

I confirm that I am entering this agreement of my own free will.

☐ Yes  ☐ No

I don’t mind watching my partner having sex with another party

☐ Yes  ☐ No

I’m don’t mind taking part in a 3-way

☐ Yes  ☐ No

2. Power Exchange Dynamic

Do you consent to participating in a consensual power exchange dynamic?

☐ Yes  ☐ No

Do you understand that this dynamic is role play and can be stopped at any time?

☐ Yes  ☐ No

Do you consent to the use of titles (e.g., Sir, Ma’am, Master, Mistress, etc.)?

☐ Yes  ☐ No

3. Physical Interaction

Do you consent to physical touch

☐ Yes  ☐ No

Do you consent to restraint (e.g., cuffs, rope, being held in place)?

☐ Yes  ☐ No

Do you consent to impact play (e.g., spanking, paddling)?

☐ Yes  ☐ No

Do you consent to sensory play (e.g., blindfolds, temperature play, light sensation play)?

☐ Yes  ☐ No

4. Psychological & Verbal Play

Do you consent to verbal dominance (e.g., commands, tone shifts)?

☐ Yes  ☐ No

Do you consent to humiliation play

☐ Yes  ☐ No

Do you consent to public behavior protocols

☐ Yes  ☐ No

5. What are your Limits & Boundaries?

____________________________________________________________________________________________________________________________________________

Triggers or Topics to Avoid:

____________________________________________________________________________________________________________________________________________

6. Safe Word Agreement (insert Safe word)

_________________________________

I understand that I may withdraw consent at any time by using a safe word.

☐ Yes  ☐ No

Traffic light system agreed upon?

☐ Yes  ☐ No

(Example: Green = Continue, Yellow = Slow/Check in, Red = Stop)

7. Aftercare

Do you require aftercare following a scene?

☐ Yes  ☐ No

Preferred Aftercare:

☐ Physical comfort (e.g., cuddling, blanket)

☐ Verbal reassurance

☐ Quiet time

☐ Check-in message later

☐ Other: _______________________________

8. Final Acknowledgment

I acknowledge that Consent can be withdrawn at any time.

No means no.

Safe words will be respected immediately.

Communication is required before, during, and after scenes

☐ Yes  ☐ No

All Participant Signatures: ___________________________

___________________________

___________________________

___________________________

Date: ___________________________