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Assured Attendance Agreement

I, the undersigned _________________________ of

_______________________________________________, now or lately called

______________________________________________________,

HEREBY DECLARE AS FOLLOWS:

1. I SHALL NOT prevent my spouse*/partner*/friend* (*delete as appropriate) ______________________________, of

_______________________________________________________________, from attending all or any part of the Dipsomania Society Event on

_______(day)/________(month)/_________(year).

2. I SHALL NOT withhold sexual pleasure from the person named in Section 1 above as a result of discovering that I have signed this document.

3. I HAVE READ this document and agree to all conditions laid out above.


SIGNED AS A DEED by the above named ________________________________________________



...............................................................................

(signing as

(_____________________________________)




In the presence of:

WITNESS

Name: _______________________________________

Address: _______________________________________

_______________________________________

_______________________________________

_______________________________________

Occupation: _______________________________________



Witness's Signature: .....................................