LIGHT OF THE COMFORTER
Rev. Dr. Annie Arakelian
Clinical Christian Counselor
Board Certified Life Coach
VOLUNTARY RELEASE, ASSUMPTION OF RISK AND INDEMNITY AGREEMENT
In consideration for being permitted to participate in a voluntary prayer ministry/counseling, herein referred to as the "Prayer Ministry/counseling", the undersigned, , herein referred to as the "Releasor," agrees as follows:
RELEASE, WAIVER, DISCHARGE AND COVENANT NOT TO SUE Releasor and Releasor's personal representative, assigns, insurer, heirs, executors, administrators, spouse and next of kin, hereby releases, waives, discharges and covenants not to sue Rev. Annie Arakelian and Light Of The Comforter Ministries, INC or LOC Wholeness Haven, LLC, and its directors, officers, employees, agents, volunteers, as well as its successors, assigns, affiliates, subordinates and subsidiaries, all herein referred to as the "Releasees," from any and all liability to Releasor, and to Releasor's personal representatives, assigns, insurer, heirs, injury to the person or property or resulting in the death of Releasor, whether caused by the negligence of Releasees, or otherwise while Releasor is participating in the Prayer Ministry/counseling and other activities in connection with the Prayer Ministry/counseling.
1. ASSUMPTION OF RISK. Releasor understands, is aware of, and assumes all risks inherent in participating in the Prayer Ministry/counseling. These risks include, but are not limited to, physical and emotional responses and reactions as a result of this prayer ministry/counseling.
2. INDEMNITY. Releasor agrees to indemnify Releasees from any liability, loss, damage or cost Releasees may incur due to the participation by Releasor in the Prayer Ministry, whether caused by the negligence of Releasees or otherwise. Releasor assumes full responsibility for and risk of bodily injury, death or property damage due to negligence of Releasees or otherwise while participating in the Prayer Ministry/counseling.
Releasor expressly agree that this voluntary Release, Assumption of Risk and indemnity agreement, herein referred to as "Agreement," is intended to be as broad and inclusive as permitted by the laws of the State of Florida, and that, if any portion of this Agreement is held invalid, it is agreed that a balance, notwithstanding, continue in full legal force...". The Agreement contains the entire agreement between the parties in regard to the Prayer Ministry/Counseling.
3. CANCELLATION POLICY. Releasor acknowledges that o
nly emergency situations will be allowed as an excused reason for cancelling where fees paid will be refunded. Releasor agrees to provide proof/documentation as soon as possible of the emergency in order to have the cancellation be considered. Releasor agrees to pay $80/hr. for the time slots booked if the appointment is cancelled for non-emergency situations.
4. PAYMENT. Releasor agrees to issue payment on the day of scheduling/creating/agreeing to the appointment. (For example, if an agreement is made on May 15th to have a 2-hour appointment on May 30th, the fee for the 2-hour appointment must be paid on May 15th. It is considered late if it's paid on May 16th or past that.)
Payment is due 1 week before a weekly-recurring appointment. Payment is due 2 weeks before a bi-weekly recurring appointment.
5. RECORDING OR SHARING. No recording or sharing of any conversation during the session is allowed, except when permission is granted.
RELEASOR REPRESENTS THAT:
I HAVE CAREFULLY READ THIS AGREEMENT. I UNDERSTAND AND IT IS A RELEASE OF ALL CLAIMS, INCLUDING THE NEGLIGENCE OF RELEASEES.
I UNDERSTAND THAT I AM INDEMNIFYING THE RELEASEES.
I VOLUNTARILY SIGN MY NAME EVIDENCING MY UNDERSTANDING AND ACCEPTANCE OF THE PROVISIONS OF THIS AGREEMENT.
