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Pretty simple. You post a dare for the person above, and the person below you gives you a date. Just like every other dare. Example:

Person 1: (replying to this thread) Apply toothpaste to nipples, then tie a string between nipple clamps, hang it over a door, and attach it to nipples. Then, sit down. Stay there for 3 hours.

Person 2: (Person 1 does this dare) Sit on a chair reverse, so your crotch faces the back, and tie your clamps around the chair and attach them to your nipples. Go to sleep like this.

And so on.
REMEMBER: THIS THREAD IS FOR EXTREME, PAINFUL DARES. MAKE SIRE YOU DO THEM, PICTURES CAN BE REQUESTED