A2V C3 (TOG) RELEASE OF LIABILITY ALL
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Section I - Doctors and Medicine - I am in agremeent, please initial
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Section II - Neglect and Abuse of Children - I am in agreement, please initial
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Section III - Licenced Therapists - I am in agremeent, please initial
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Section IV - Appointment Policy - I understand that all times on the calendar are Central Standard Times - Chicago/Dallas - Not for sure how to calculate CST to your time? Visit. https://www.timeanddate.com/worldclock/converter.html. Please initial
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Section V - Cost of Ministry - I understand that if I do NOT show up for ministry time scheduled and did not cancel or reschedule or text the minister at 817-381-8115, and still want ministry, I may have to pay again, unless a legitimate reason. Please initial
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Section VI - Suicital - I am in agrement, please initial.
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Section VII - REQUIRED VIDEOS - I agree to watch required preparation videos unless another plan not required unless advised by Minister, otherwise, ministry will be delayed until videos are watched - . Please initial
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Section VIII - Waive and Release - I am in agrement, please initial
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Section IX - Release of Data - I agree, please initial
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Please type your first (legal birth name) and Last name:
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