This release is entered into between the undersigned, www.ElegantlyRawDoreet.com, officers, directors, employees and agents
(herein, collectively the “Company”) upon the understanding and condition that the purpose of Company nutrition services is to
provide nutritional instruction, coaching, motivation, and educational opportunities for dietary improvement and goal attainment in
conjunction with care overseen by a physician and necessary health care providers as selected by the undersigned participant.
THE BUYER acknowledges that the Company does not guarantee that instruction provided will produce good nor bad results.
THE BUYER acknowledges that the nutritional advice provided during these services is based on best practices and
nutritional guidelines for health and that, should chronic health conditions be present, THE BUYER must be responsible for
consulting with a primary care physician for thorough evaluations and healthcare.
- I acknowledge that the Company has advised me of medical risks that may result from such participation and represent to
the company that I have consulted my personal physician or other health authority and I am physically capable of such
participation without injury.
- I have been specifically advised of the medical risks associated with nutrition intervention programs for individuals who are:
Have a combination of the following:
- Men 45 or older and women 55 or older
- Family history of coronary artery disease
- Hypertension: 140/90 or higher blood pressure
- High Cholesterol
- Diabetes: Persons over 30 years of age or have had Insulin-Dependent Diabetes Mellitus (IDDM) more than 15
years or over age 35 and have Non-Insulin Dependent Diabetes Mellitus (NIDDM)
- Sedentary Lifestyle
3. I recognize the risks of nutritional changes and am participating in the Company’s program upon the express agreement
and understanding that I (the undersigned) do hereby for myself and my heirs, executors, and administrators waive and
release the Company from any and all claims, costs, liability, expenses or judgments including attorney’s fees and court cost
(herein, collectively “Claims”) arising out of my participation in the Company’s programs or any illness or injury resulting
there from, and hereby agree to indemnify and hold harmless the Company from and against any and all such Claims. In
consideration of my entry and of my own free will, I waive, release, and give up any and all claims, demands, liability,
4. I understand there is a no refund policy, and that payment will be made online via credit card prior to participation in the
5. I FULLY UNDERSTAND THAT I AM FOREVER GIVING UP, IN ADVANCE, ANY RIGHT TO SUE OR MAKE CLAIMS AGAINST THE
PARTIES I AM RELEASING, IF I SUFFER ANY INJURIES OR DAMAGES, EVEN THOUGH I DO NOT KNOW WHAT OR HOW
EXTENSIVE THOSE INJURIES AND DAMAGES MIGHT BE AND AM VOLUNTARILY ASSUMING THE RISK OF SUCH INJURIES OR
DAMAGES. I UNDERSTAND THIS CONSENT FORM AND AM NOT UNDER ANY PHYSICAL OR EMOTIONAL DURESS TO AGREE TO THESE CONDITIONS.