AWOKEN CIRCLE: TERMS & CONDITIONS
Following are the Terms & Conditions agreed upon by you or your organization (“Client”) in working with Adam Cole Shapiro and his associates (“Facilitator”) covering all services and communications (“Facilitating”) past, present, and in perpetuity. By agreeing to this document, you indicate that you understand the following as it relates to Facilitating:
1. I understand that Facilitator is not acting as a mental health counselor, therapist, or medical professional and that Facilitating is not a substitute for professional mental health care or medical care and it is not intended to diagnose, treat or cure any mental health or medical conditions.
2. I understand and agree that I am fully responsible for my well-being during sessions, and subsequently, including my choices and decisions.
3. I have the ability to give my informed consent, and hereby give such consent to my Facilitator to assist and advise me in my life goals with the understanding that results are not guaranteed and no refunds offered.
4. I understand that my Facilitator will protect my information as confidential unless I state otherwise in writing. If I report child, elder abuse or neglect or threaten to harm myself or someone else, I understand that necessary actions will be taken and my confidentiality agreement limited in this capacity or as otherwise ordered by a court to the extent the law requires.
5. I understand that the use of technology is not always secure and I accept the risks of confidentiality in the use of email, text, phone, Skype and other technology.
6. I hereby release, waive, acquit and forever discharge my Facilitator, any agents, successors, assigns, personal representatives, executors, heirs and employees from every claim, suit action, demand or right to compensation for damages I may claim to have or that I may have arising out of acts or omissions by myself or by my Facilitator as a result of the advice given by my Facilitator or otherwise resulting from Facilitating contemplated by this agreement.
7. I further declare and represent that no promise, inducement or agreement not expressed in this agreement has been made to me to sign this agreement. This agreement shall bind my heirs, executors, personal representatives, successors, assigns, and agents.
Following are the Terms & Conditions agreed upon by you or your organization (“Client”) in working with Adam Cole Shapiro and his associates (“Facilitator”) covering all services and communications (“Facilitating”) past, present, and in perpetuity. By agreeing to this document, you indicate that you understand the following as it relates to Facilitating:
1. I understand that Facilitator is not acting as a mental health counselor, therapist, or medical professional and that Facilitating is not a substitute for professional mental health care or medical care and it is not intended to diagnose, treat or cure any mental health or medical conditions.
2. I understand and agree that I am fully responsible for my well-being during sessions, and subsequently, including my choices and decisions.
3. I have the ability to give my informed consent, and hereby give such consent to my Facilitator to assist and advise me in my life goals with the understanding that results are not guaranteed and no refunds offered.
4. I understand that my Facilitator will protect my information as confidential unless I state otherwise in writing. If I report child, elder abuse or neglect or threaten to harm myself or someone else, I understand that necessary actions will be taken and my confidentiality agreement limited in this capacity or as otherwise ordered by a court to the extent the law requires.
5. I understand that the use of technology is not always secure and I accept the risks of confidentiality in the use of email, text, phone, Skype and other technology.
6. I hereby release, waive, acquit and forever discharge my Facilitator, any agents, successors, assigns, personal representatives, executors, heirs and employees from every claim, suit action, demand or right to compensation for damages I may claim to have or that I may have arising out of acts or omissions by myself or by my Facilitator as a result of the advice given by my Facilitator or otherwise resulting from Facilitating contemplated by this agreement.
7. I further declare and represent that no promise, inducement or agreement not expressed in this agreement has been made to me to sign this agreement. This agreement shall bind my heirs, executors, personal representatives, successors, assigns, and agents.