GH/Intersex

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Name: Quin Sex: Intersex Gender: Woman Man Transgender

Sexuality: Date: 4/5/2018

I, , understand my identity and the identity of those around me are to be kept a secret.

I understand I am not permitted to give my information nor ask for others information. My time spent at

Glory Holes is limited to the amount of money I have, and I have the ability to make more working for the

company. If I break the rules, I understand I will be kicked out of the facility and my time will me over.