Psychic Reservation Form

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RESERVATION APPLICATION FORM PG-2008-01-12 FOR PRIVATE & GROUP PSYCHIC READING

ATTENDANT INFORMATION: ATTENDANT must be of legal age

All signatures to this Reservation Form must be affixed personally

DATE: / / 2008 NAME ________________________________________________________________

ADDRESS ______________________________________________________________________________

CITY ______________________ STATE ______ ZIPCODE _________ PHONE ( ) _______________

CELL ______________ EMAIL ADDRESS ___________________________________________________

I desire _____ a Private Reading $200.00 per person (30-minutes) _____ to Attend a Group $95.00, Per person

EFFECTIVE JANUARY 1, 2008: The current fee to Host a private home/ business psychic gallery is $950.00 for up to ten (10) persons. To Host a Private Gated Community Clubhouse Psychic Gallery is: $750.00.

Agreement: The Reservation Form is a requirement to reserve either a private or group psychic sitting with Robert Allen Fahey. Please take your time when completing this form as your answers are important to us. When completed, please either deliver it personally back to us for approval and acceptance. Confirm your Reservations with payment in full. Thank you and welcome to the world of self-development through MindBodySpirit intuitive development.

This Reservation agreement explains the rights and obligations that will exist between you and BioHealth Counseling Center, Robert Allen Fahey, D/B/A HelloFromHeaven.com. Please print clearly in all spaces provided. Reservation Forms that are unclear will be returned.

IN CONSIDERATION of BioHealth Counseling Center, Robert Allen Fahey, D/B/A HelloFromHeaven.com and the ATTENDANT agree as follows:

1. ATTENDANT is of legal age in the Country and/or State in which he/she enters this agreement (if minor the parent or guardian signature is required). He/She consider themselves to be an independent moral person in society and responsible for their own positive motivation, study habits, thinking, business operations and understands that by taking the educational lecture series or becoming involved in any of the private and/or group educational services presented by the BioHealth Counseling Center, Robert Allen Fahey, D/B/A HelloFromHeaven.com, does NOT mean they are in any way to become an employee or legal representative for the BioHealth Counseling Center, Robert Allen Fahey, D/B/A HelloFromHeaven.com.

2. ATTENDANT understands they are responsible for the full cost of the private individual and or group educational lecture series being provided and if required any Federal and State taxes and/or licenses.

3. ATTENDANT agrees to use his/her best efforts to apply any part of the informational educational lecture series being presented to bring about only positive conditions for common logical and moral sense motives.

4. ATTENDANT understands that the only expense incurred for the private individual or group educational lecture series or services being offered or presented is specifically for the cost of the time only being provided. Purchase of optional items, books, pendulums, certificates if any are presented and wanted by the ATTENDANT can be obtained for a fee, but are NOT required.

5. The BioHealth Counseling Center, Robert Allen Fahey, D/B/A HelloFromHeaven.com agree to make in advance only a mutually agreed upon set time to the ATTENDANT.

6. This agreement once signed, submitted, and accepted will become irrevocable by the ATTENDANT.

7. ATTENDANT acknowledges that the private individual or group educational lecture series, psychic presentation or sitting being provided whether performed LIVE, through telephone conference, via the Internet, or if given in any other form does NOT provide any medical and/or psychological services, nor does it teach the ATTENDANT how to provide any medical and/or psychological services.

8. ATTENDANT acknowledges that the BioHealth Counseling Center, D/B/A HelloFromHeaven.com, is NOT a medical service and that Robert Allen Fahey is not a medical doctor, but rather a self-professed educational researcher that demonstrates as a psychic performer and educator of the human condition readings, sitting, coaching sessions, and does NOT provide any medical and/or psychological services.

9. This agreement between the ATTENDANT and the BioHealth Counseling Center, Robert Allen Fahey, D/B/A HelloFromHeaven.com will be governed by the laws of the State of New Hampshire.

10. This agreement shall be deemed accepted by the BioHealth Counseling Center, Robert Allen Fahey, D/B/A HelloFromHeaven.com upon issuance to the ATTENDANT of his/her Reservation approval and acceptance letter, date and/or time of private or group appointment and/or sitting materials.

11. ATTENDANT understands in applying for any one or more private individual and/or group educational lecture series, psychic sitting, and/or hypnosis & self-hypnosis presentation provided by the BioHealth Counseling Center, Robert Allen Fahey, D/B/A HelloFromHeaven.com, that he/she pledges NOT to use such information on themselves or any other person for any medical or psychotherapeutic purpose requiring the supervision or assistance of a physician, dentist, qualified psychologist or other health practitioner unless he/she is working directly under such professional and strictly within the supervision practitioner’s area of competence. The ATTENDANT will NOT practice medicine, dentistry, psychology or offer any other professional service without proper training.

12. ATTENDANT understands that any problem of a medical or psychological nature may be treated legally only by medical doctors or other health practitioners in the healing arts. Spiritual, psychic, and hypnosis services may be used for therapeutic purposes only if such application is authorized by a licensed practitioner in the healing arts and only in cases in which the problem properly belongs in the specialty of the referring practitioner.

13. ATTENDANT believes that the private individual or group educational lecture series, psychic sitting, and/or hypnosis & self-hypnosis or psychic gallery presentation that he/she is seeking a Reservation for can be helpful to him/her in achieving specific objectives with a twofold primary focus 1) to increase greater awareness of the subject matter and oneself, and 2) to enhance his/her life through general self-improvement. All other reasons will be considered secondary and may be a cause for refusal of service.

14. ATTENDANT realizes the necessity to make a sincere and full commitment to the private individual or group educational lecture series, psychic sitting, group presentation and/or hypnosis & self-hypnosis or psychic gallery in order for it to be optimally effective.

15. ATTENDANT fully understands that due to individual difference in ATTENDANT commitment and participation, the BioHealth Counseling Center, Robert Allen Fahey, D/B/A HelloFromHeaven.com or any staff can make no EXPRESS or IMPLIED warranties concerning the program and/or psychic services being offered or presented.

16. ATTENDANT fully understands the contents in either the private individual or group educational lecture series, psychic sitting, and/or hypnosis & self-hypnosis or psychic gallery presentation being provided may vary from any verbal communications or material given prior to, during, and/or after the actual presentation and that he/she now accepts this possible fact.

17. ATTENDANT understands and accepts that educational demonstrations of psychic and hypnosis services may be used during some parts of the event(s) being provided and that he/she now willingly releases the BioHealth Counseling Center, Robert Allen Fahey, D/B/A HelloFromHeaven.com and any staff from all liability as a result of any known and/or unknown mental, physical, emotional, financial, social enhancement, or lack of before, during, and/or after any given hypnosis, self-hypnosis, or psychic spiritual services are provided except that result from wanton and willful misconduct.

18. ATTENDANT understands that the total current per person admission fee to enter into what will be referred to as the Gift Room for a private individual or group psychic and/or hypnosis sitting is currently set at: $200.00 per person (30-minutes), $95.00 per person in a group format. There is a $255.00 per person admission fee for the TOP 10 Hypnosis Educational Lecture Series, a $155.00 per person admission fee for the 3-Hour general combined hypnosis and self-hypnosis workshop, and a $950.00 per event fee (for up to ten (10) in the group) for the group Contacting The Spirit World Social, a Private Gated Community Clubhouse Psychic Gallery is $750.00, and for the Past Life Regression Through Hypnosis event, and when the payment is made in full, it will automatically become a NON-REFUNDABLE and NON-TRANSFERABLE Reservation General Admission fee.

19. ATTENDANT understands that when the total cost of any one or more of the private individual or group educational lecture series, psychic sitting, and/or hypnosis & self-hypnosis or psychic gallery presentation being provided is paid for in full will automatically become NON-REFUNDABLE and NON-TRANSFERABLE as explained in this Reservation Form agreement.

20. ATTENDANT fully understands that for any reason(s) known or unknown in advance, should he/she be unable to attend any one or group of scheduled educational lecture series, private or group sittings, and/or other socials being offered, then he/she will automatically forfeit both the total time set aside including the given Reservation the ATTENDANT has paid for and the total amount of the total General admission cost paid by the ATTENDANT, and the BioHealth Counseling Center, Robert Allen Fahey, D/B/A HelloFromHeaven.com will NOT be responsible in any way to make up such time or expense.

21. ATTENDANT is fully aware that in order for the BioHealth Counseling Center, Robert Allen Fahey, D/B/A HelloFromHeaven.com including any staff to service the ATTENDANT in a more efficient manner, all or parts of only the group educational lecture series, psychic sittings, and/or hypnosis & self-hypnosis and psychic gallery presentations being given in its current version may be video or tape recorded for quality assurance, review purposes and control. In addition, the ATTENDANT full understands that reporters, advertising personnel or others may take publicity photos for the purpose of future articles, newspaper, radio and television promotions, and gives here and now authorization and full consent and permission of release of such without any form of compensation for such testimonial and/or photos should any be taken, reviewed, and deem usable by the BioHealth Counseling Center or Robert Allen Fahey, D/B/A HelloFromHeaven.com.

22. ATTENDANT fully understands that any service provided in the private individual or group educational lecture series, psychic sitting, and/or hypnosis & self-hypnosis or psychic gallery presentation are held out to the public as non-therapeutic, defined as the use to only inculcate positive thinking and to not ever represent any services as any form of medical health care or psychotherapy, and despite research to the contrary, by law, may make no health benefit claims for such services.

23. ATTENDANT fully understands and agrees should at any time prior to, during, or after enrollment in any private individual or group educational lecture series, psychic sitting, and/or hypnosis & self-hypnosis or psychic gallery presentation they believe they already have partial or total knowledge of the content to be presented, then the Attendant's participation will be considered taking place because of self choice and an acknowledgement that they simply desire or want a reinforcement and or reminder of such wisdom.

Your signature below indicates that you have read this entire Reservation Agreement and that you willingly accept all of the terms and conditions regarding the educational lecture series, psychic sitting, and/or educational hypnosis & self-hypnosis or psychic gallery presentation being offered in its current version and that once you have completely filled in the required information for Reservation approval and acceptance consideration purposes and before you forward it to us, you pledge with honesty that you will to the best of your ability make a printed copy of this Reservation Form Agreement for your own personal records.

YOUR ELECTRONIC SIGNATURE (TYPE YOUR NAME HERE):

Note: Not all in attendance of Public (or Private Public) Galleries are guaranteed a psychic reading.