Punishment Request
What did you do?
*
Get Dare Name
*
First Name
Last Name
E-mail
Severity Level
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Mild
Moderate
Severe
Extreme
What kind of punishment do you want?
*
Corporal Punishment
Edging and Denial
Household or Medicinal Items
Random
Other
If Other Please specify
*
How would you like to receive your punishment?
*
Personal Message VIA GD
E-Mail
Kik
Punish me Please
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