THE SCIENCE OF WELLNESS SOCIETY MEMBERSHIP

I _________________________________ understand that as a member of the Science of Wellness Society I may also become a member of the American Family Home Health Association our sponsoring association. I pledge to uphold not only the principles of this society but those of the association and those contained in the Science of Wellness as taught in the Science of Wellness Seminars.

I also pledge to uphold the principles of freedom contained in the Constitution of the united states of America. As a sovereign citizen I shall incorporate all of these principles into my chosen life style as efficiently and diligently as possible. I understand that by doing this I may obtain the maximum level of health and vitality. As I continue to apply these principles to maintain this high level of health, I shall remain in a continued state of wellness, free from disease, pain and suffering.

I understand that being a member of these Non-Secular organizations only strengthens my chosen religious belief system and will not conflict with it in any manner. I also pledge that I shall extend this same religious freedom privilege, provided in the Constitution of the united states of America, to all other members and shall not interfere in any manner with their chosen beliefs and life style.

I understand that I am free to cancel my membership at any time for any reason and that the Society and Association have the same prerogative, by giving in writing, notification of such a decision and in a reasonable manner.

As a valued member I also understand that I freely consent to indemnify all other members and practitioners for any accidental injury obtained from any health enhancing procedures received from a member. I relinquish all rights to seek remuneration of any nature for any injuries of a physical or mental nature that may allegedly be a result of the procedures I request be provided to me. And I declare that I have read, understand and accept the content of the Credo of the society and associations to which I have become a member.

I here-by pledge to assist other members of the society in support groups and extend a hand of kindness to all humanity by doing my best to publicize this society and the principles of wellness and bring in new members to assist in spreading, to the people of this world, this badly needed science and information. I acknowledge that with my signature this document becomes legal and binding in all the states of the union.

This I pledge on this the_________ day of ___________________/___________.

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Signature

NAME:_____________________________________________ DATE OF BIRTH :AGE:______M___ F___

ADDRESS:_____________________________________________CITY:____________________________

STATE:__________________________________COUNTRY_____________________________________

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PHONE #_________________________________________ FAX:________________________________

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PROFESSIONAL QUALIFICATIONS: _________________________________________________________

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HOBBIES – INTERESTS: ____________________________________________________________________

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