Hold Harmless Agreement printable pdf download

Hold Harmless Agreement

2013 Immanuel Lifestyle Training

Margaret Webb and Jessica Handy, Trainers

Alive and Well, Inc.

I voluntarily consent to be ministered to by the leadership team of the 2013 Immanuel

Lifestyle Training, including Jessica Handy and my mentor, as well as my fellow

students. I understand that the ministry that I will receive in this program is primarily

being done for the purpose of training, and I agree to it on that basis. I understand that

some or all of the procedures used to give spiritual and emotional help through the use of

Immanuel Prayer methods may or may not be clinically demonstrated as guaranteeing

either short-term or long-term results. I fully understand that the ministry I receive is not

counseling in any form, but rather prayer ministry.

I accept this ministry fully and completely and do not hold anyone responsible for any

outcome that may arise as a result of this ministry. I do not hold any person involved

with this training program, Alive and Well, Inc., Church of the Resurrection or River City

Community Church and its staff and officers responsible for any further or additional

care or follow-up ministry I may need in the future. I take full responsibility for my life,

health, and well being now and in the days to come.

I also understand that during triad and small group exercises, as well as in receiving

ministry, I do not need to go into detail concerning the content of any memories that may

arise or identify the people in my memories should I wish not to do so. I understand that

neither my group members nor the ministry facilitators need to know the names,

identities, ages, or relationship such people may have with me in order to do the ministry.

I also expect that the Leadership Team and fellow students will hold my personal

information in the strictest confidence.

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Print Name

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Signature

Date

Hold Harmless Agreement