I, ________________________, with a free mind and an open heart; do request of_______________________ that He accept the submission of my will unto His and to take me into His care and guidance, that W/we may grow together in love, trust and mutual respect. The satisfaction of His wants, desires, and whims are consistent with my desire as a submissive to be found pleasing to Him. To that end, I offer Him use of my time, talents, and abilities. Further, I ask, in sincere humility, that, as my Master, He accept the keeping of my body for the fulfillment and enhancement of O/our sexual, spiritual, emotional, and intellectual needs. To achieve this, He may have unfettered use of my body any time, any place, in front of anyone; to keep or to give away, as He will determine.
I ask that He guide me in any sexual, sensual, or scene-related behavior, both together with, and separate from Him, in such a way as to further my growth as a person.
I request of _______________________, as my Master, that he use the power vested in His role; to mold and shape me; assisting me to grow in strength, character, confidence, and being, and that He continue to help me to develop my artistic and intellectual abilities.
In return, I agree:
To obey His commands to the best of my ability.
To strive to overcome feelings of guilt or shame, and all inhibitions that interfere with my capability to serve Him and limit my growth as His submissive.
To maintain honest and open communication.
To reveal my thoughts, feelings, and desires without hesitation or embarrassment.
To inform Him of wants and perceived needs, recognizing that He is the sole judge of whether or how these shall be satisfied.
To strive toward maintenance of a positive self-image and development of realistic expectations and goals.
To work with Him to become a happy and self-fulfilled individual.
To work against negative aspects of my ego and my insecurities that would interfere with advancement of these aims.
My surrender as a submissive is done with the knowledge that nothing asked of me will demean me as a person, and will in no way diminish my own responsibilities toward making utmost use of my potential. In recognition of my family obligations, nothing will be required of me that will in any way damage or harm my children, nor interfere with the performance of my duties as mother and as wife.
This I, _______________________, do entreat, with lucidity and the realization of what this means, both stated and implied, in the conviction that this offer will be understood in the spirit of faith, caring, esteem and devotion in which it is given.
Should either of U/us find that our aspirations are not being well served by this agreement, find this commitment too burdensome, or for any other reason wish to cancel, E/either may do so by verbal notification to the O/other, in keeping with the consensual nature of this agreement. W/we both understand that cancellation means a cessation of the control stated and implied within this agreement, not a termination of O/our relationship as friends and lovers. Upon cancellation, each of U/us agrees to offer to the other H/his or her reasons and to assess our new needs and situation openly and lovingly.
This agreement shall serve as the basis for an extension of O/our relationship, committed to in the spirit of loving and consensual dominance and submission with the intention of furthering self-awareness and exploration, promoting health and happiness, and improving both O/our lives.
I offer my consent to submission to ______________________________ under the terms stated above on this the ________ day of _____________ in the year ________.
Signature of submissive
I offer my acceptance of submission by ______________________________ under the terms stated above on this the ________ day of ______________ in the year ________.
Signature of Dominant