Intercourse Consent

=================== General Release Writ

This certifies that I, the undersigned female about to enjoy sexual intercourse with __________________________________ am above the lawful age of consent, that I am in my right mind and am not under the influence of any drug or narcotic. Neither does he have to use any force, threats, coercion or promises to influence me.

Furthermore I am in no fear of him whatsoever; do not expect or want to marry him, I don't know if he is married or not, and I don't care. I am not asleep or drunk and am entering into this relationship with him because I love it and want it as much as he does, and if I receive the satisfaction I expect, I am willing to participate again at an early date.

Furthermore I will not act as a witness against him, nor will I file charges against him should I become pregnant, contract a sexual disease, or feel that he is violating the Mann White Slave Act.

Signed, before jumping into bed,

this ____ day of ____________ 19__

Signed ________________________ Address________________________ ________________________ Date of Birth _______________

General Release Writ

This certifies that I, the undersigned male about to enjoy sexual intercourse with __________________________________ am above the lawful age of consent, that I am in my right mind and am not under the influence of any drug or narcotic. Neither does she have to use any force, threats, coercion or promises to influence me.

Furthermore I am in no fear of her whatsoever; do not expect or want to marry her, I don't know if she is married or not, and I don't care. I am not asleep or drunk and am entering into this relationship with her because I love it and want it as much as she does, and if I receive the satisfaction I expect, I am willing to participate again at an early date.

Furthermore I will not act as a witness against her, nor will I file custody charges against her should she become pregnant, should I contract a sexual disease, or feel that she is misrepresenting herself. With this signature, I guarantee that the ensuing act of unprotected sexual intercourse represents my most sincere effort at irresponsibility.

Signed, before jumping into bed,

this ____ day of ____________ 19__

Signed ________________________ Address________________________ ________________________ Date of Birth _______________