Parting Waters Restored Wellness, A Faith Based Private

Health Ministry

Membership Agreement/Waiver Form

Overview: I do hereby apply for membership in Parting Waters Restored Wellness, hereafter termed “The Ministry,” a faith-based private Health Ministry. With the signing of this membership agreement, I accept the offer made to become a Member of The Ministry and have read and agree with the following Declaration of Purpose, Preamble and Memorandum of Understanding.

Declaration of Purpose: The primary work of Parting Waters Restored Wellness is focused on educating and serving Parting Waters Restored Wellness Members so that they have all the latest knowledge in providing protocols, including but not limited to Natural Healthcare, Holistic Healing Practices, Homeopathy, creation and/or distribution of supplements, tinctures, ointments, salves, or any other natural form of healthcare practice to protect and improve the health of Members; and provide access to Parting Waters Restored Wellness protocols, including but not limited to protocols that include homeoprophylaxis and other homeopathic preparations. Secondary work includes, but is not limited to: grassroots, political, and economic efforts to ensure the protection of our work.

Membership: By consenting to the Membership Agreement provided, Members are granted the following rights and benefits:

● Right to detailed informed consent about the services rendered, and what to expect.

● Complaints against a Parting Waters Restored Wellness Member must be submitted in writing to Parting Waters Restored Wellness within three months of the incident of complaint. These will be sent to the Person, Committee, or Tribunal designated by Parting Waters Restored Wellness for evaluation and remediation action.

● Upon request, access to the Ministry’s Bylaws.

● Guarantee that all Personal Health Information (PHI) remain in the custody and in the confidential holding of Parting Waters Restored Wellness. Personal Health Information of all Members will be held in strict confidentiality and will remain private from any State Medical Board, the FDA, FTC, Medicare, Medicaid or insurance companies without the previously expressed specific permission granted by the Member.

● Membership with Parting Waters Restored Wellness will remain intact unless the Member submits in writing their desire to withdraw membership or membership is terminated by The Ministry in accordance with bylaws.

Preamble: We believe that the First Amendment of the Constitution of the United States of America, and the Constitutions of the several States guarantee our Members the rights to religious liberties and freedoms and the rights of free speech, petition, assembly, and the right to gather for the lawful purpose of advising and helping one another in asserting our rights under law. IT IS HEREBY DECLARED that we are exercising our right of “freedom of religion” and “freedom of association” as guaranteed by the 1st and 14th Amendments of the Constitution of the United States of America and equivalent provisions of the various State Constitutions, which are excepted out of the powers of general government. This means that our Ministry activities are restricted to private ecclesiastical jurisdiction and are private matters.

We proclaim the freedom to choose for ourselves the types of products, services, therapies, and self-help modalities that we think best. We encourage our Members to perform their own research by studying different resources to prevent illness and/or diseases of our minds and bodies and for achieving and maintaining optimum wellness. We proclaim and reserve the right to include health options that include but are not limited to cutting edge treatment modalities and therapies practiced or used by any types of healers or therapists or practitioners the world over whether traditional or nontraditional, conventional or unconventional.

Specifically, the mission of The Ministry is to change existing life and health circumstances through teaching alternative health awareness, which enables Members to improve their physical well-being and to provide Members with the highest-level services and of research and the most effective modalities for prevention. The Ministry will recognize any person (irrespective of age, race, creed, gender, sexual orientation or religion) who has been approved as a member and acts in accordance with these principles and policies as a Member and will provide a medium through which its individual Members may associate for actuating and bringing to fruition the purposes heretofore declared.

I agree to join the Parting Waters Restored Wellness Ministry, a private membership health ministry under common law, whose Members seek to help each other achieve better health and good quality of life.

My activities within The Ministry are a private matter that I refuse to share with the State Medical Board, the FDA, FTC, Medicare, Medicaid, or my own insurance company without my expressed specific permission. All records and documents remain as property of The Ministry, even if I receive a copy of them. I fully agree not to pursue any course of legal action against a fellow Member of The Ministry, unless that Member has exposed me to a clear and present danger of substantive evil, and upon the recommendation and approval of the Ministry.

I enter into this agreement of my own free will without any pressure or promise of cure or disease prevention. I affirm that I do not, or will not, as a Private Member represent any Local, State or Federal agency whose purpose is to regulate and approve products, or to carry out any mission of enforcement, entrapment or investigation and agree to accept membership in the capacity of Private Member. I have read and understood this document, and my questions have been answered fully to my satisfaction. I understand that I can withdraw from this agreement and terminate my membership in this Ministry at any time, and that my membership can and will be revoked if I engage in abusive, violent, menacing, destructive or harassing behavior towards any other Member of The Ministry. These pages consist of the entire agreement for my membership in The Ministry.

Payment of any dues, fees or program costs, if applicable and delivery of these signed documents to a Ministry representative is considered sufficient for my one-time membership contract. Term begins with the date of submission of this contract.