I,
_________________________________,
enter into this
Agreement with
Karen
Anderson of
Divine Journeys
Healing Arts
Center to
confirm in this
Agreement the
conditions of my
participation in
the reading to
be performed by
Karen
Anderson. I
have been made
aware that the
90 minute
session is
Pre-Paid and
the cost is
$180.00 for
one person
(21-up) and
$40.00 for
each additional
person. (Group
sessions are 4
or less and
share the 90
minutes in the
session.) I have
also been made
aware that there
is a $40.00
held back
cancellation
fee, if I cancel
my appointment
and do not
reschedule
within a two
week period.
I acknowledge that I have voluntarily agreed to participate and have
requested
Karen Anderson
of Divine
Journeys Healing
Arts Center
to perform this
reading. I
acknowledge that
Karen
Anderson of
Divine Journeys
Healing Arts
Center is
not a
Psychologist,
Psychotherapist,
Psychiatrist,
Licensed Mental
Health Counselor
or Medical
Doctor. I am
aware that my
participation in
this reading is
not a substitute
for psychiatric
treatment,
psychotherapy,
therapeutic
counseling or
any other form
of professional
therapy.
I,
_________________________________
am voluntarily
participating in
this reading and
understand it is
considered to be
known as
"Entertainment
Purposes Only"
and I accept
complete
responsibility
for my own
psychological,
mental,
emotional and
spiritual
well-being. I
acknowledge that
it is my
responsibility
to ascertain my
own need for
professional
counseling and
to seek such
professional
counseling, if
needed. I also
understand that
if any
information is
given during my
reading that may
pertain to
medical and/or
mental health,
this is not a
declaration of
fact being made
by Karen
Anderson of
Divine Journeys
Healing Arts
Center, but
only a
impression Karen
is receiving at
the given time.
I further
acknowledge and
understand that
any information
provided during
this reading or
any other
statements made
during same
shall be
considered
confidential and
shall not be
disclosed except
as required by
law.
I have
carefully read
this Agreement
and fully
understand it's
contents, terms
and significance
and understand
the legal
consequences of
signing this
Agreement. I am
aware that this
Agreement
contains a
release of
liability and a
contract between
myself and
Karen Anderson
of Divine
Journeys Healing
Arts Center
and I sign this
Agreement of my
own free will. I
also have been
made aware that
Karen
Anderson of
Divine Journeys
Healing Arts
Center will
be tape
recording this
session for my
own future
referral to and
are in agreeance
with this
procedure.