Limits Check List for Sex and Submission

*Please check all items you do not agree to do during your shoot.
Sexual
Kissing
Pussy Licking
Ass Licking
Blow job
Face fucking or rough blow job
Vaginal penetration
Vaginal fingering
Anal penetration (b/g, fingering, toys)
Swallowing semen (all participants cleared
through PASS Database)
Ass to Pussy
Fisting, vaginal
Fisting, anal

No

Notes:

General
Clamps
Gags/ oral toys
Hair Bondage
Sensory deprivation hoods,
Hot Wax- (temperature tested and SAFE)
Electricity Safe medical grade and
adjustable to you.
Sensations can be from mild wave to static
(carpet) like shock.
Tickling
Water Play dunking, dripping on head,
spraying on face, throwing on body

No

Notes:

Humiliation
Foot worship (sucking on feet)
Forced masturbation
Begging / asking permission
Verbal humiliation as part of roleplay: are
there certain things you would not like to
be called? e.g. slut, whore , piece of meat,
etc.
Spitting on body, face, or in mouth
Animal Role play - bark like dog, etc.
Enema will you do an enema on film?

No

Notes:

Corporal Punishment - Are there any

areas of your body you do not want hit or
punished because of sensitivity or other
reasons?
Face
Breasts
Nipples
Butt
Pussy
Asshole
Feet
Thighs
Back
Choking
Hair pulling

No

Notes:

MARKING:
Do you have a shoot in the next few
days? If so please write NO MARKS in
the column to your right.
___________________________________

_____________________________

Are you ok with receiving marks that

may last a few days? Please write you
personal preference in the column to
your right.
NO MARKS or MARKS ARE OK.

Please specify any additional guidelines for scene partners.

Model

________________________

Director

________________________

Date

________________________

Participant signature, assuring you have read models limitations thoroughly:

PRINT LEGAL NAME
1.
2.
3.
4.
5.

SIGNATURE