Green Zone USA

Release Agreement


Green Zone USA Inc.

The health information received during this consultation is for general education and
is not intended to be specific medical advice. No medical care, diagnosis, or treatment is
provided during this consultation. It is advisable to consult with one’s personal health care
provider before implementing any lifestyle changes.

I hereby forever release Green Zone USA lifestyle directors, counselor(s), volunteers or associated
organizations from any and all liability. Further, I hereby assume all risk of personal injury,
sickness, death, damage, and expense incurred attendant
to. Participation in this consultation indicates acceptance of these terms.

General Information

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Telephone:  ( )

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Signature Certificate
Document name: Release Agreement
Unique Document ID: bfae958ae490b7820f65eb759885d25a63bb2d50
Timestamp Audit
2015-10-23 11:41:40 EDTRelease Agreement Uploaded by Green Zone USA Inc. - davidk@greenzoneusa.org IP 198.134.208.80