Formal Consensual Agreement

Re: Collaboration between Michaela Woo and Stranger

Section 1: Criteria for eligibility in dating:
1)
2)
3)
4)

Education level must be university/college or be enrolled in a learning institution

Must be able to lift min 100 pounds
Must not have any forms of addictions - including that of the flesh or substance
Must have no psychiatric disorders such as Sadism, Masochistic disorder, Schizotypal personality disorder,
Narcissistic personality disorder, Histrionic personality disorder or Dependent personality disorder.
5) Must not be currently engaged in any criminal activity nor have any criminal history nor plan to engage in
any future illegal activity, especially that which concerns Michaela Woo
6) Must not have more than 4 tattoos
Section 2: Personal Information:
First name: _________________________

Last name: ____________________________________

Date Of Birth (month-day-year): ______________________ Place of Birth: __________________________

Status in Country of residence (ex, permanent resident, citizen etc.): ________________________

Street address: ___________________________________________________________________________
City: ________________
Home Phone #: (

Province: ____________________ Postal code: ______________________

) ______________ Cell Phone #: (

Email: ________________

Section 3: Parental Information:

Have you produced any offsprings: ______________________________
(if answered yes, answer the following, if no, skip to part 2)
Part 1: Kinship
a) Number of children: ___________
b) Names of children, along with age (if more space is required, attached additional paper):
_______________________________________________________________
_______________________________________________________________
_______________________________________________________________
_______________________________________________________________
Part 2: Kinship
a)
b)
c)
d)

Parents Names (mother then father) : _______________________________________________________

Occupation of mother: ___________________________________________________________________
Occupation of father: ____________________________________________________________________
Married/Separated/ Divorce: ______________________________________________________________

e)

Annual Income: _________________________________________________________________________

Section 4: Education:
Institution
Kindergarten
Elementary
High School
University
College

Completed
Yes
No
Yes
No
Yes
No
Yes
No
Yes
No

Evaluation Mark

Authority Signature

Section 5: Recommendations:
(Relatives are not to be included, include references from teachers, past employers, mentors etc.)

Name

Occupation

Relationship

Number

Section 6: Questionnaire: (Short responses are favoured)

1) First encounter
Where: _______________________________
When: _________________________________
Approximate Time: _______________________
2) The undocumented relationship:
When did it start: ________________________
Who was present to witness this: __________________________________
How did the union begin: ______________________________________________________________
3) Sexual activity, whether monogamous or polygamous:
How many sexual encounters: ___________________
Longest relationship date (begin end) : ______-______
WIth whom: ___________________________
Multiple partners at once: Yes
No
Animalistic sexual activity: Yes
No
Few times (1-3 times)
Orgy/Group Sex: Yes
No
Few times (1-3 times)
4) Medical History:
Allergies: _________________________________________________
Disorders: ________________________________________________
STD/STI history: ___________________________________________
Have you ever been hospitalized, if yes, for what:
___________________________________________________________________________________
___________________________________________________________________________________
___________________________________________________________________________________
5) Are you currently employed: ____________________

If yes, where: _______________________________________________________________________

How long: __________________________________________________________________________
Supervisors name and contact: _________________________________________________________

6) Piercings or tattoos: _________________

- List area of piercings __________________________________________________________
- List of tattoo areas and description of tattoo:
a) ________________________________________________________________________
b) ________________________________________________________________________
c) ________________________________________________________________________
d) ________________________________________________________________________
If more space is required, you are not eligible for dating Michaela Woo, See Section 1 i.e Eligibility
I confirm that everything listed above is true. I will uphold to Rules and regulations set between
Michaela and I before entering in this notified relationship.
Sign:___________________________________________
Print Name:_____________________________________
Date: __________________________________________
Witness:________________________________________