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Application to Ejaculate
Date submitted:
Date reviewed:
Slave ID:
Dicks sucked:
Cum-loads swallowed:
Date of last orgasm:
Permission on file?
Days since last orgasm:
Note! Requests made within 7 days of
last ejaculation will not be considered!
Note! Requests made within 30 days of
unauthorized ejaculation will not be considered!
Would you like to buy accidental
ejaculation insurance?
Cum without permission deposit:
Would you like to buy a cum-eating
waiver?
Cum without eating it up deposit:
Would you like to cum on one of the
following?
Shoes
Flip flops
Sneakers
High heels
Mules
Boots
Socks
Stockings
Feet
Toes
Soles
Arches
Floor
Doggie dish
Breasts
Pussy
Mouth
Face
Ass
Would you like to purchase the
following options?
Blowjob
Footjob
Handjob
References (List two)
Mistress/Client Name: Contact
info:
Mistress/Client Name: Contact
info:
Attach all citations within the last 90
days (including but not limited to):
Unauthorized masturbation
Unauthorized porn access
Failure to perform assigned task
Violation of chastity device security
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