"My Body Is Not Me" Program Member Agreement

"My Body Is Not Me" Program Member Agreement Form

Please make sure to complete this in one sitting and do not navigate between tabs or press the back arrow button.  If this is done, your information will be lost. 

Name *
Name
About the "My Body Is Not Me" Program 0.0
Membership & Program Fees 1.0
No Warranties 2.0
Confidentiality 3.0
Miscellaneous 4.0
Today's Date *
Today's Date
BY CHECKING BELOW, YOU ACKNOWLEDGE THAT YOU UNDERSTAND AND AGREE TO ALL OF THE AFOREMENTIONED TERMS, INCLUDING THOSE RELATED TO PROGRAM FEES, AUTOMATIC MONTHLY BILLING, STRICT NO REFUND POLICY, AND CONFIDENTIALITY AND THAT THIS IS THE EQUIVALENT OF A SIGNATURE FOR THE PROGRAM "MY BODY IS NOT ME" BY JESSICA MAY TANG AND RAE OF HOPE LLC. *