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Adult 12 Week Transformation
Program Application

Please fill out this application to be considered for the

12 Week Adult Transformation Program.

How did you hear about us?

I understand coaches at The Healing Haven Community (THHC) are not medical professionals or therapists. This program is for personal growth and educational purposes only and should not take the place of any information given by a medical professional or therapist. THHC does our best to keep information confidential, however, in some circumstances we be may required by law to share. We are mandated reporters, in the event a THHC coach feels you may harm yourself or someone else we will need to report it. By signing this document, I acknowledge the inherent risks and voluntarily assume full responsibility for any injury, damage, or loss that may result from my participation. I hereby waive and release the business, its owners, and its staff from any and all liability, past, present, and future, relating to the services provided.

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