AS THE ABOVE NAMED PURCHASER OF THIS PRODUCT, I CERTIFY THAT I AM AT LEAST 18 YEARS OF AGE, OF SOUND MENTAL CAPACITY, AND I UNDERSTAND , AGREE AND CONSENT TO THE FOLLOWING TERMS:
a) MY CONSULTATION WITH MAHENDRA KUMAR TRIVEDI ("TRIVEDI") IS A SPIRITUAL BLESSING. IT IS NOT A MEDICAL EVALUATION, DIAGNOSIS, PRESCRIPTION, OR TREATMENT , NOR IS IT MEDICAL CARE OR A SUBSTITUTE FOR MEDICAL CARE FROM LICENSED HEALTH CARE PROVIDERS. NEITHER MAHENDRA KUMAR TRIVEDI, NOR TRIVEDI MASTER WELLNESS, LLC, OR THE TRIVEDI FOUNDATION, OR ANY PERSONS ACTING IN CONJUNCTION WITH THEM AT THE EVENT AT WHICH THIS CONSULTATION OCCURS, OR OTHERWISE, IS A MEDICAL OR LICENSED HEALTH CARE PRACTITIONER. THEY DO NOT PROVIDE MEDICAL CARE OR HEALTH CARE IN CONNECTION WITH THIS CONSULTATION, NOR DO THEY MAKE ANY REPRESENTATION OR PROMISE REGARDING THE EFFECTS OR OUTCOME OF THIS CONSULTATION. THEY DO NOT ASSUME RESPONSIBILITY FOR ANY MEDICAL OR HEALTH CONDITION THAT I NOW HAVE OR MAY HAVE IN THE FUTURE. I AGREE THAT I WILL NOT, BASED ON THIS CONSULTATION, MODIFY, SUSPEND OR STOP ANY MEDICAL CARE, OR CARE FROM ANY LICENSED HEALTH CARE PRFESSIONALS WHICH I AM NOW RECEIVING, OR MAY RECEIVE IN THE FUTURE, WITHOUT FIRST CONSULTING THE MEDICAL OR LICENSED HEALTH CARE PRACTITIONERS RESPONSIBLE FOR THAT CARE.
b) I HAVE READ AND I UNDERSTAND THIS DOCUMENT AND AUTHORIZE THE CONSULTATION WITH TRIVEDI. THIS RELEASE AND WAIVER IS PART OF THE CONSIDERATION TO TRIVEDI FOR THIS CONSULTATION, AND I UNDERSTAND THAT TRIVEDI WOULD NOT PROVIDE THIS CONSULTATION WITHOUT MY AGREEMENT TO ITS TERMS. ON BEHALF OF MYSELF, AND MY HEIRS, REPRESENTATIVES, SUCCESSORS, AND ASSIGNS, I RELEASE AND WAIVE ANY AND ALL CLAIMS IN CONNECTION WITH THIS CONSULTATION THAT I OR THEY NOW HAVE OR MAY HAVE IN THE FUTURE AGAINST MAHENDRA K. TRIVEDI, THE TRIVEDI FOUNDATION, TRIVEDI MASTER WELLNESS, LLC, OR ANY OF THEIR RESPECTIVE EMPLOYEES, CONSULTANTS, REPRESENTATIVES, OR AGENTS, INCLUDING ANY PERSONS AND/OR ORGANIZATIONS ADVISING, PROMOTING, SPONSORING, HOSTING, OR OTHERWISE INVOLVED WITH THE EVENT AT WHICH THIS CONSULTATION OCCURS.
IMAGE RELEASE
c) I FURTHER GRANT PERMISSION TO TRIVEDI MASTER WELLNESS ("TMW") AND/OR TO TRIVEDI FOUNDATION ("TF") TO USE MY LIKENESS IN PHOTOGRAPHIC OR VIDEO- TAPED REPRESENTATIONS OF ME, IN ANY AND ALL OF ITS PUBLICATIONS AND IN ANY AND ALL OTHER MEDIA, WHETHER PRINT OR ELECTRONIC, WITHOUT FURTHER CONSIDERATION. I ACKNOWLEDGE THAT TMW AND/OR TF MAY CROP OR OTHERWISE ADJUST, EDIT OR TREAT THE PHOTOGRAPHIC OR VIDEOTAPED LIKENESSES OF ME, IN ITS SOLE DISCRETION, EITHER NOW OR IN THE FUTURE.
I WAIVE THE RIGHT TO INSPECT AND CONSENT TO THE USE OF MY LIKENESS IN ANY FORMAT, KNOWN OR UNKNOWN, WHICH TF AND/OR TMW MAY DETERMINE TO BE APPROPRIATE. I UNDERSTAND THAT IMAGES POSTED ON A WEBSITE MAY BE SEEN OR DOWNLOADED BY ANY COMPUTER AND I ACKNOWLEDGE SUCH USES OF ELECTRONIC MEDIA AND CONSENT TO THEM. I FURTHER CONSENT TO THE USE OF MY WORDS AND STATEMENTS IN ANY MATERIAL WHICH TMW AND/OR TF MAY DEEM APPROPRIATE, INCLUDING THOSE USED FOR PURPOSES OF ADVERTISING OR PROMOTION BY TMW AND/OR TF, IN ALL MEDIA, WHETHER PRINT OR ELECTRONIC, IN STILL PHOTOGRAPHIC, OR IN AUDIO OR VIDEOTAPED FORMATS.
I HAVE READ AND I UNDERSTAND THE TERMS OF THIS AGREEMENT.
