Name: Rune Readings
SKU: 9066
Availability: OutOfStock

Description

Reading Request Disclaimer, Release, Assumption of Risk, & Confidentiality Agreement Form

Effective Date / Time *

Date

Time

Name *

First

Last

Email *

Phone Number that can receive text messages: *

I am now requiring a phone number that I can send texts to in the event that I run into an issue with your email address not working and need to contact you about your order. Even though I've repeatedly asked for two different email addresses, people still only put one and if that's kicking back as undeliverable, then I have no way to contact you about your reading and usually end up just refunding it because I can't contact the person who ordered. I will not text or call you unless it's absolutely necessary for me to do the reading and I do not share your phone number with anyone. Thanks for understanding about this.

Additional Email (This MUST be different from the one above. Please do not put the same email twice.): *

I'm requesting two different email address to ensure that your reading will reach you. Many times people are just putting the same email in both positions, and I've had numerous emails kick back as undeliverable and I have no other option but to issue a refund.

Name of the Reading You're Ordering:

If you wish to provide any information you can do so in this area. However, I do not require any additional information to do your reading.

The following is an important legal document about readings with Melissa Alvarez, an intuitive consultant. This legal document explains the assumption of any and all risks associated with your decision to order an intuitive reading with Melissa Alvarez and your decisions to follow the advice or insight given to you by Melissa Alvarez. It is VERY IMPORTANT that you understand the document clearly prior to ordering a reading with Melissa Alvarez. If you have questions about this document, please ask for clarification by emailing Melissa Alvarez before signing and submitting this document or ordering a reading. You will also see this same information in a large block below where you have to agree to it. It's set up this way so that this paragraph is easier to read, but the block text is emailed to Melissa with your form.

READING REQUEST WAIVER, DISCLAIMER, RELEASE, ASSUMPTION OF RISK,INFORMED CONSENT, COVENANT NOT TO SUE, & CONFIDENTIALITY AGREEMENT:

You agree that the intuitive readings provided by Melissa Alvarez should never be used as a substitute for seeking professional care or assistance, therefore, you agree to not use the impressions given to you during Melissa Alvarez’s reading to replace any advice previously given to you by a medical professional. Anyone who is currently under such professional medical help should remain under their medical care. You also agree, as with any information you receive from any source, that you alone hold the power of decision-making and are totally and completely responsible for making decisions that affect your life and the outcome of your choices. You agree that Melissa Alvarez makes every effort to give you an accurate reading and that you understand Melissa Alvarez believes that no psychic is 100% accurate, including herself, and you accept that some information received may not seem to apply at this time but could apply to future events or may not apply at all or may not be 100% accurate.

Melissa Alvarez of MelissaA.com, or other sites such as blogs, websites, radio shows etc. disclaims all liability in regards to the intuitive clairvoyant reading and all information given to her clientele as a result of said reading. For legal reasons, Melissa Alvarez must state that all intuitive readings are for entertainment purposes only. By submitting this agreement form and ordering a reading, you agree and verify that you:

1) have voluntarily decided to participate in this reading;
2) are at least 18 years of age, and have not been declared incompetent;
3) have requested a reading from Melissa Alvarez of your own free will;
4) understand that it may take up to seven days to receive the reading;
5) understand the reading will be returned via email and that is your responsibility to provide a working primary and DIFFERENT secondary email address;
6) understand your reading is not and cannot be used as a substitute for any type of professional financial, medical, health, psychological, psychiatric, or professional counseling, therapy or treatment;
7) understand and agree that it is your responsibility to decide whether or not you require professional counseling or medical treatment and should you require such services to seek them on your own as needed;
8) understand that all readings are purely for entertainment purposes only;
9) understand that no intuitive is 100% accurate and there may be some things in the reading that do not seem to apply right now but could apply at a future date or may be inaccurate or not happen at all;
10) are accepting complete responsibility for your own financial, medical, health, mental, emotional, psychological, spiritual and bodily well-being and are not relying on any intuitive reading for these things;
11) do on behalf of yourself, your assigns, heirs, executors, guardians, and all other legal representatives, hereby release, discharge, waive, and forever relinquish Melissa Alvarez, including her agents, employees, officers, directors, employers, and any other person associated with Melissa Alvarez, from any and all known or unknown claims resulting from, arising out of or in any way connected with information you may or may not receive during your voluntary participation in a reading with Melissa Alvarez and further agree that under no circumstance(s) will you, or any other person associated with you as a result of your reading attempt to present any claims against, prosecute, sue, seek to attach any lien for any purpose including satisfaction of a judgment or other judicial decree, to the property of Melissa Alvarez and her heirs, and you hereby waive all claims, demands, compensation, and all actions that you, anyone associated with you or any other participant in the reading currently or hereafter may have for any injuries or perceived injuries or perceived or real losses you may suffer or believe to suffer because of or during your participation or involvement in a reading resulting from any actions, statements, answers to questions or omissions made by Melissa Alvarez or any person associated with Melissa Alvarez;
12) understand and agree that in the event any claim for damages shall be brought or prosecuted against Melissa Alvarez or any person associated with Melissa Alvarez as a result of your actions, omissions, or other act, that you and/or your estate shall indemnify and hold harmless Melissa Alvarez and all persons associated with Melissa Alvarez from any and all claims, actions or damages, legal and otherwise, made by you or anyone associated with you including the cost and expense associated with defending such actions or claims and that no claims shall exceed the amount you actually paid to Melissa Alvarez for the reading;
13) understand that all information provided to you during your reading is considered confidential and shall not be disclosed to any other person except as required by law;
14) agree that Melissa Alvarez can use portions of any feedback sent to her after the reading as a testimonial using first name only and state/country and without revealing any specific information about the reading in order to protect the privacy of those she reads for.
15) have read this agreement and fully and completely understand the legal consequences of remitting this agreement by clicking “Submit” below.
16) are electronically submitting this Agreement, disclaimer, liability release, assumption of risk, informed consent, convenent not to sue, and confidentiality agreement form by your own free will while fully comprehending what you are doing and the result and consequences of your actions by clicking “Submit” below.

By clicking the Submit button below, you are stating that you have read, understand, and agree to the Policies, FAQs, Statement of Ethics and this Agreement and that you are hiring Melissa Alvarez for intuitive reading services and will be legally bound by this Disclaimer, Release and Confidentiality Agreement.

By selecting Yes below, I am stating that I have read, and completely understand and agree to, all of the information on all of the pages, including but not limited to, the Policies, FAQs and Statement of Ethics pages under the "Intuitive Readings" tab in the main header of this website. (To receive a reading with Melissa Alvarez, you must manually select the Yes button below. Readings ordered where this form still has No selected will be immediately refunded and the reading canceled.) *

I understand and agree that by manually choosing yes and clicking on the "Submit" button below that I am legally bound by this Reading Request Disclaimer, Release & Confidentiality Agreement submitted through this form and that is described in a single paragraph below. (To receive a reading with Melissa Alvarez, you must manually select the Yes button below. Readings ordered where this form still has No selected will be immediately refunded and the reading canceled.) *

The following is an important legal document about readings with Melissa Alvarez, an intuitive consultant. This legal document explains the assumption of any and all risks associated with your decision to order an intuitive reading with Melissa Alvarez and your decisions to follow the advice or insight given to you by Melissa Alvarez. It is VERY IMPORTANT that you understand the document clearly prior to ordering a reading with Melissa Alvarez. If you have questions about this document, please ask for clarification by emailing Melissa Alvarez before signing and submitting this document or ordering a reading. You will also see this same information in a large block below where you have to agree to it. It's set up this way so that this paragraph is easier to read, but the block text is emailed to Melissa with your form. READING REQUEST WAIVER, DISCLAIMER, RELEASE, ASSUMPTION OF RISK,INFORMED CONSENT, COVENANT NOT TO SUE, & CONFIDENTIALITY AGREEMENT: You agree that the intuitive readings provided by Melissa Alvarez should never be used as a substitute for seeking professional care or assistance, therefore, you agree to not use the impressions given to you during Melissa Alvarez’s reading to replace any advice previously given to you by a medical professional. Anyone who is currently under such professional medical help should remain under their medical care. You also agree, as with any information you receive from any source, that you alone hold the power of decision-making and are totally and completely responsible for making decisions that affect your life and the outcome of your choices. You agree that Melissa Alvarez makes every effort to give you an accurate reading and that you understand Melissa Alvarez believes that no psychic is 100% accurate, including herself, and you accept that some information received may not seem to apply at this time but could apply to future events or may not apply at all or may not be 100% accurate. Melissa Alvarez of MelissaA.com, or other sites such as blogs, websites, radio shows etc. disclaims all liability in regards to the intuitive clairvoyant reading and all information given to her clientele as a result of said reading. For legal reasons, Melissa Alvarez must state that all intuitive readings are for entertainment purposes only. By submitting this agreement form and ordering a reading, you agree and verify that you: 1) have voluntarily decided to participate in this reading; 2) are at least 18 years of age, and have not been declared incompetent; 3) have requested a reading from Melissa Alvarez of your own free will; 4) understand that it may take up to seven days to receive the reading; 5) understand the reading will be returned via email and that is your responsibility to provide a working primary and DIFFERENT secondary email address; 6) understand your reading is not and cannot be used as a substitute for any type of professional financial, medical, health, psychological, psychiatric, or professional counseling, therapy or treatment; 7) understand and agree that it is your responsibility to decide whether or not you require professional counseling or medical treatment and should you require such services to seek them on your own as needed; 8) understand that all readings are purely for entertainment purposes only; 9) understand that no intuitive is 100% accurate and there may be some things in the reading that do not seem to apply right now but could apply at a future date or may be inaccurate or not happen at all; 10) are accepting complete responsibility for your own financial, medical, health, mental, emotional, psychological, spiritual and bodily well-being and are not relying on any intuitive reading for these things; 11) do on behalf of yourself, your assigns, heirs, executors, guardians, and all other legal representatives, hereby release, discharge, waive, and forever relinquish Melissa Alvarez, including her agents, employees, officers, directors, employers, and any other person associated with Melissa Alvarez, from any and all known or unknown claims resulting from, arising out of or in any way connected with information you may or may not receive during your voluntary participation in a reading with Melissa Alvarez and further agree that under no circumstance(s) will you, or any other person associated with you as a result of your reading attempt to present any claims against, prosecute, sue, seek to attach any lien for any purpose including satisfaction of a judgment or other judicial decree, to the property of Melissa Alvarez and her heirs, and you hereby waive all claims, demands, compensation, and all actions that you, anyone associated with you or any other participant in the reading currently or hereafter may have for any injuries or perceived injuries or perceived or real losses you may suffer or believe to suffer because of or during your participation or involvement in a reading resulting from any actions, statements, answers to questions or omissions made by Melissa Alvarez or any person associated with Melissa Alvarez; 12) understand and agree that in the event any claim for damages shall be brought or prosecuted against Melissa Alvarez or any person associated with Melissa Alvarez as a result of your actions, omissions, or other act, that you and/or your estate shall indemnify and hold harmless Melissa Alvarez and all persons associated with Melissa Alvarez from any and all claims, actions or damages, legal and otherwise, made by you or anyone associated with you including the cost and expense associated with defending such actions or claims and that no claims shall exceed the amount you actually paid to Melissa Alvarez for the reading; 13) understand that all information provided to you during your reading is considered confidential and shall not be disclosed to any other person except as required by law; 14) agree that Melissa Alvarez can use portions of any feedback sent to her after the reading as a testimonial using first name only and state/country and without revealing any specific information about the reading in order to protect the privacy of those she reads for. 15) have read this agreement and fully and completely understand the legal consequences of remitting this agreement by clicking “Submit” below. 16) are electronically submitting this Agreement, disclaimer, liability release, assumption of risk, informed consent, convenent not to sue, and confidentiality agreement form by your own free will while fully comprehending what you are doing and the result and consequences of your actions by clicking “Submit” below. By clicking the Submit button below, you are stating that you have read, understand, and agree to the Policies, FAQs, Statement of Ethics and this Agreement and that you are hiring Melissa Alvarez for intuitive reading services and will be legally bound by this Disclaimer, Release and Confidentiality Agreement. *

Electronic Signature: Please type your name as your electronic signature to indicate your agreement to the terms and conditions stated within this document. *

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Select Your Reading:	Three Rune Spread, Six Rune Spread, Nine Rune Spread, Runic Cross Spread

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