I, ___________________, the undersigned doth hereby acknowledge that the Reconnective Healing Program, the Reconnection Events and the Reconnection Information are not designed to, and do not provide, medical advice, diagnosis, treatment or cure for any medical condition, disease or illness or not intended to substitute the same in any manner whatsoever. I understand that I should never disregard, or discontinue, any professional medical advice/prescription, nor delay in seeking it, because of something I have learned, viewed, listened to, read or otherwise ascertained or obtained from or based on any component of the Reconnective Healing Program, any Reconnection Event or any Reconnection Information conveyed to me by the Conductor/Instructor, Conductor/Instructors’ representatives (including but not limited to the reconnection parties) or Eric Pearl at any time (before, during or after any reconnection event). Anything I learn or experience from the Reconnective Healing Program, any Reconnection Event or any Reconnection Information is not intended to replace the services of a trained health care professional or be a substitute for medical advice of physicians and or prescription which may be continued at discretion. The Conductor/Instructor recommends, which I hereby acknowledge, that I will and shall immediately consult a physician or otherwise in all matters relating to my health, particularly with respect to any symptoms that may require diagnosis or medical attention at any time or any situation that may arise after signing herein. The Conductor/Instructor makes no representations or warranties with respect to any information or services offered or provided to me in any component of the Reconnective Healing Program, any Reconnection Event or any Reconnection Information. However the Conductor/Instructor, Conductor/Instructors’ representatives (including but not limited to the reconnection parties) or Eric Pearl at any time (before, during or after any reconnection event) shall not be responsible for any errors or omissions in reporting or explanation. I hereby doth confirm and acknowledge there is no warranty regarding the accuracy, timeliness, outcome, or applicability of the Reconnective Healing Program, any Reconnection Event or any Reconnection Information.

___________________________ (Name)(Signature)___________________