LIFE FULLY EMBODIED FREE CHURCH SERVICE AGREEMENT

 

Overview: I do hereby apply for services from Life Fully Embodied Free Church, an unincorporated private spiritual church, hereinafter referred to as the “Church.” By signing or affirming this Service Agreement, I hereby affirm that I have read through it and agree with its terms. 

 

Purpose: The Church is organized for educational, spiritual, and beneficent purposes, and is established under the exclusive jurisdiction of the Bylaws and Ecclesiastical Law of the Church, for furthering the upliftment and enlightenment of all people throughout the world, and the betterment of life on planet Earth.

 

Rights & Responsibilities: By signing or affirming the Services Agreement provided herein, I understand that I am granted the following rights and benefits, and I agree to the following responsibilities: 

 

• The right to detailed, informed consent about the services rendered, and what to expect. 
• Full and fair conflict resolution. 
• Review of any supplemental information that may be presented to me by the Church.
• Guarantee that my personal information is secure, and that it will remain within the Church. 
• My association with the Church will remain intact unless and until: (a) I submit, in writing, my desire to withdraw association; or (b) my association is terminated by the Church. 
• Complaints against the Church must be submitted, in writing, to a Trustee of the Church within three months of the incident at issue. These complaints will be sent to the Tribunal designated by the Church for evaluation and remediation action (see below). 
• I have reviewed and am in alignment with the Church’s mission statement, which reads:

 

Mission Statement: Life Fully Embodied exists to help individuals, couples, and families identify and dismantle survival identities that keep them disconnected from truth, intimacy, health, purpose, and the Divine.

Through healing, embodiment, spiritual formation, relationship restoration, stewardship, and community, we guide people back into alignment with who they were before survival became their identity.

Voluntary Association: I voluntarily agree to associate with the Church, an unincorporated free church that is governed solely by ecclesiastical law, as interpreted by Life Fully Embodied Free Church. My activities within the Church are a private, contractual matter that I refuse to share with any Local, State, or Federal regulatory or administrative agencies, unless I have been exposed to a clear and present danger of substantive evil. I hereby grant to the Church Trustees, their agents, employees, owners, and representatives, a release of liability and immunity from any and all liability, claims, demands or lawsuits related to my participation in Church activities. I hereby release the Church from all claims of negligence related to my participation in Church activities; where applicable, I have also made this determination on behalf of my minor children/someone under my care and protection. I affirm that I understand the legal principle of “assumed risk,” and I assume the responsibility for known, unknown and potential risks, and hold the Church and its agents, owners, employees, and representatives harmless from any and all liability and adverse consequences which may ensue from said risks.

 

I enter into this agreement of my own free will, without any pressure or coercion. I affirm that I do not represent any Local, State, or Federal agency whose purpose is to regulate or to carry out any mission of enforcement, entrapment, or investigation. I have read and understand this document, and my questions have been answered fully, and to my satisfaction. I understand that I can withdraw from this agreement and terminate my association with this Church at any time, and that my privileges within the Church can and will be revoked if I engage in any abusive, violent, menacing, destructive, or harassing behavior towards any other person associated with this Church.

 

MEMORANDUM OF UNDERSTANDING 

 

➢ I understand that members, vendors, instructors, counselors, teachers, practitioners, and/or service providers within the Church may or may not be licensed by the governmental board(s) that purport to regulate their activities. I understand that the members of the Church who provide services and care do so in their capacity as an ordained Minister of the Church, and not in the capacity as a licensed provider. I further understand that it is entirely my own responsibility to consider the advice and recommendations offered to me by Church members, and to educate myself as to the efficacy, risks, and desirability of the same; and that the acceptance of the offered or recommended course of action is my own, carefully considered decision. 

 

➢ I understand that my care may be provided by team that includes a variety of experiences and training, and that these members will work collaboratively and share information about my care in order to facilitate a holistic, healing experience. I further understand that within the Church, no doctor-patient relationship exists; only a contractual member-to-member relationship exists.

 

➢ I understand that any chiropractors, doctors, nurses, therapists, and other providers who are members of the Church are offering me advice, services, and benefits that do not necessarily conform to conventional medical care. I do not expect these benefits to include on-call coverage, hospital care, or the usual and customary care provided by most physicians. I will receive such primary and specialist care elsewhere.

 

➢ I understand that, since the Church is an unincorporated/unregistered, First-Amendment reliant spiritual entity, it may be outside the jurisdiction and authority of government authorities. Therefore, I agree that any and all complaints or grievances that I have against the Church, any of its Trustees, members, or other staff persons shall be settled by a Church Tribunal. The Tribunal shall be selected by the parties in accordance with Church rules, and its decision(s) shall be considered as a final and binding resolution of the dispute; it shall not be subject to appeal and may be entered as an order in any court of competent jurisdiction in the United States. Tribunal proceedings shall be

conducted on a confidential basis, and the Tribunal’s discretion to fashion remedies hereunder shall be no broader or narrower than the legal and equitable remedies available to any court.

 

➢ I understand that my financial contributions, if any, to the Church are legally classified as donations, and are therefore non-refundable. I further understand that, to the extent that my donation is being given in exchange for services, and that said donation is in an amount that is equal to the fair market value of those services; as such, the exchange is a quid pro quo transaction and I am not entitled to deduct the donation(s) on my personal tax returns. If I am in need of anything the Church provides, but cannot make the suggested donation, I understand that I can request a reduced donation amount, or ask that the suggested donation be waived in its entirety. I understand that, in some cases, my donation will secure a reservation for receiving Church services. If I am unable to attend a session which has already been reserved by my donation, it is my responsibility to communicate my conflict to the Church within a reasonable amount of time, not less than 48 hours prior to the date and time reserved. 

 

➢ I understand that, as a participant in Church services, images, photographs, or other likenesses of me or my child/children may be taken. I hereby grant the Church my absolute permission to reuse, copyright, publish, or republish the same.  

 

 

➢ I enter into this agreement of my own free will, without any pressure, coercion, or promise of result, and affirm that these pages, and other documents presented to me for signature by the Church, comprise the entire agreement for mine and/or my family’s participation in the Church. If any part of this agreement should be deemed invalid, then such part shall be considered deleted and the balance shall continue in full force and effect.