Beautiful Evolution & Healer Auset Services Form NDA

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Thank you for your interest in Beautiful Evolution Institute and Healer Auset Maryam. Completing this form, completing a donation, and scheduling here will secure your time. Healer Auset Maryam is a Board Certified Holistic Health Practitioner with American Association of Drugless Practitioners. All donations are made to Victory Project-based Academics & Competency (VPAC). EIN: 85-3917724.

Email *

Full Name *

Phone: *

Address *

Birthday *

YYYY

Birth Time (if unknown place n/a) *

Birth Location *

Astrological Sign (and all houses in your chart if you know) *

Gender *

Have you completed your free 15 minute consultation? *

Yes

What medications or vitamins do you currently consume? *

What do you over consume? (Sugar, bread social media, TV, food, nicotine, marijuana, pain, complaining, stress, worry, etc.) *

What do you under consume? (Water, rest, vegetables, fruit, sunlight, joy, exercise, reading, learning, etc.) *

How do you stand for yourself? *

How do you express yourself to others? *

Are you comfortable in your sexuality? *

Yes

Sometimes

Are you comfortable in others sexuality? *

Yes

Sometimes

Are you violent? *

Yes

Sometimes

Do you have addictions? *

Yes

How do you deal with your emotions? *

Do you make emotionally charged decisions? *

Yes

Sometimes

Do you truly accept yourself? *

Yes

Sometimes

Do you have to be accepted by other? *

Yes

Sometimes

How do verbally express yourself? *

Do people generally understand you? *

Do you listen & pay attention to your inner voice? *

Yes

Sometimes

Generally what do people say about your spirit? *

Do you know your life mission? *

Yes

Do you live your life mission? *

Yes

What is your value to the world? *

Define interconnectedness *

SELF HEALING select which service *

SPIRITUAL & ENERGY HEALING $200

CHAKRA INSTRUCTOR COURSE $200

BIRTH DOULA $800 PER PREGNANCY ~SIX (6) 90 MINUTE VISITS: HALF DOWN

TRANSITION TO ANCESTOR DOULA $600

SSS SCIENCE AND SPIRIT OF SEX MELANIN TANTRA INDIVIDUAL $300

N/A

Required

Healer Auset Services-GROUP HEALING *

CHAKRA COURSE $300 (OFFERED IS 5 OR MORE PEOPLE ENROLL)

SSS SCIENCE AND SPIRIT OF SEX MEANIN TANTRA $500 PER COUPLE

BLACK FATIGUE $200 PER PERSON (OFFERED IF 5 OR MORE PEOPLE ENROLL)

BLACK SISTERHOOD $150 PER PERSON (OFFERED IF 7 OR MORE ENROLL)

BLACK BROTHERHOOD $150 PER PERSON (OFFERED IF 7 OR MORE ENROLL)

PRE-MARRIAGE SUPPORT $250 (1 90 MINUTE SESSION)

WEDDING OFFICIATING $250

RELATIONSHIP~ MARRIAGE SUPPORT $400 PER PERSON (3 90 MINUTE SESSIONS)

RELATIONSHIP~ PARENT CHILD SUPPORT $400 PER PERSON (3 90 MINUTE SESSIONS)

H.A.A.R.T. Healing African American Relationships Today $1,000 PER PERSON

H.A.R.R.T TO H.E.A.R.T. Healing African American Relationships Today TO Healing EVERY American Relationship Today Today $2,000 PER PERSON

N/A

Required

Healer Auset Services-CONSULTING *

START-UP CONSULTING $200 PER HOUR

GROWTH & EXPANSION $200 PER HOUR

INDIGENOUS MEDIATION $300 PER HOUR

EQUITY CONSULTING PRICE NEGOTIATED

GUEST APPEARANCE PRICE NEGOTIATED

N/A

Required

Healer Auset Services-COACHING *

LIFE COACHING~ Skills: coping vs. processing, uncomfortable comfort, trusting the process, and thriving no longer surviving $250 PER HOUR

BUSINESS COACHING~ Leadership, Human Resources, Financial management $250 PER HOUR

N/A

Required

NONDISCLOSURE AGREEMENTIn connection with a proposed business relationship, BEAUTIFUL EVOLUTION INSTITUTE ("Company") has disclosed or may disclose to you business information, technical information and/or ideas ("Proprietary Information"). In consideration of any disclosure and any negotiations concerning the proposed business relationship, you agree as follows: 1. You will hold in confidence and not possess or use (except to evaluate within the U.S. the proposed business relationship) or disclose any Proprietary Information except information you can document (a) is in the public domain through no fault of yours, (b) was properly known to you, without restriction, prior to disclosure by Company, or (c) was properly disclosed to you by another person without restriction, and you will not reverse engineer or attempt to derive the composition or underlying information, structure or ideas of any Proprietary Information. The foregoing does not grant you a license in or to any of the Proprietary Information. 2. If you decide not to proceed with the proposed business relationship or if asked by Company, you will promptly return all Proprietary Information and all copies, extracts and other objects or items in which it may be contained or embodied. 3. You will promptly notify Company of any unauthorized release of Proprietary Information. 4. You understand that this statement does not obligate Company to disclose any information or negotiate or enter into any agreement or relationship. 5. You acknowledge and agree that due to the unique nature of the Proprietary Information, any breach of this agreement would cause irreparable harm to Company for which damages are not an adequate remedy and that Company shall therefore be entitled to equitable relief in addition to all other remedies available at law. 6. The terms of this Agreement will remain in effect with respect to any particular Proprietary Information until you can document that it falls into one of the exceptions stated in Paragraph 1 above. 7. You acknowledge that all creative ideas, marketing, sponsorship, or any business documents will be protected under this agreement. 8. This Agreement is governed by the internal laws of the State of Colorado and may be modified or waived only in writing. If any provision is found to be unenforceable, such provision will be limited or deleted to the minimum extent necessary so that the remaining terms remain in full force and effect. The prevailing party in any dispute or legal action regarding the subject matter of this Agreement shall be entitled to recover attorneys' fees and costs. Do you agree with the above? *

Yes

I understand that by agreeing and typing my name below on this form, I agree to the payment, for B.E.I. HEALING. I understand that Healer Auset is NOT a western medical doctor and she is a Natural Healer of Holistic Healing in ingenious practices. If you agree, type your full name and date below. This will serve as your digital signature. Someone will be in contact with you within 3 business days. Feel free to text or call 720-620-2316 if you're not contacted, please be gracious and spiritual and energy work are not confined by manmade time. YOU AGREE THAT YOU UNDERSTAND YOUR MEDICAL CARE IS YOUR RESPONSIBILITY. *

COMPLETE DONATION: HAVE YOU COMPLETED THE DONATION? You understand there are NO REFUNDS and all donations will be made to VPAC (www.vpac2020.org). METHOD: Zelle (720-620-2316), CashApp ($AusetMaryam) or Paypal (https://www.paypal.me/ausetmaryamali) ONLY. Must be in U.S. funds. Registration confirmation/receipt and further information will be emailed. Cancellations/Changes and Refunds: ALL FEES ARE NON-REFUNDABLE. Substitutions are at a charge of $125.00. Please email with ORIGINAL signature completed registration form with payment to: (Phone: (720) 620-2316 Email: drauset@vpac2020.org) Do you agree? *

Yes

A copy of your responses will be emailed to the address you provided.

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