This General Release of Liability and Hold Harmless Agreement has been made on this ______ Day of __________ 2021 and reads as follows:

I ______________________, Contact Info: ______________, being the client and/subscriber of the services provided by Coach Kim Robertson, Gut Renewal Services, Contact Info: ___________________ (hereinafter referred to as “Company”) with operations in ___________________ [City/Town] in the State of _____________________, hereby declare:

I acknowledge and understand and hold the Company and all its employees and associates blameless and defend and indemnify them against any liability claims that may arise from my use of the services provided by the Company.

I acknowledge that for the desired results are based on my ability to adhere to the instructions exactly as provided and that the Company does not guarantee any changes if I fail to do my part.

I understand that I shall not claim or demand refunds for payments made for the services provided by the Company.

I acknowledge that I shall, under no circumstances, publish orally or in writing any information that is false, misleading and defamatory in nature about the Company, its employees, associates and officers.

The terms of this release form shall be construed as the entire agreement and may not be altered, amended, or modified except in writing and signed by both parties. The terms of this release shall be governed by the laws of the State of ____________________.

I represent that I am at least _________ years of age and I am fully competent to sign this Release Form.

I have carefully read and I understand the provisions in this Release Form and I freely, knowingly and voluntarily sign;

DATE: __________________

NAME: ___________________________    SIGNATURE: _________________________

COMPANY’S PRINT NAME: ________________________. DATE ____________________.

SIGNATURE __________________________.

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