Statement of Understanding for Application and Practice as an AlchemE Mentor

I understand that the 2020/2021 AlchemE Mentor Experience (herein referred to as AlchemE Mentor) with Donny Epstein has been exclusively formatted for me as a participant. I hereby release EpiEnergetics Institute, LLC, their directors, agents, assistants, volunteers and employees from any liability whatsoever related to my participation in the program.

So that our collaborative learning and experiencing during AlchemE Mentor can develop and flow freely, I agree that  the  content presented and our discussions from and in AlchemE Mentor will only be taught to others within the express permission from EpiEnergetics Institute, LLC, Donald Epstein or their assignees as stated in the separate AlchemE Mentor agreement.

I agree that I will only use the learned skills and strategies personally, in my personal relationships, and in accordance with this separate AlchemE Mentor Agreement.

I will treat everything taught in this experience as proprietary information of EpiEnergetics Institute, LLC, Donald Epstein and their assignees. My participation in AlchemE Mentor represents my agreement to these conditions, and with successful completion of the course I will be granted, through the separate agreement the use of this content, skills and  will hold myself as a representative of the EpiEnergetics an AlchemE brand consistent with these agreements.

I understand and agree that the in-person AlchemE Mentor Live Experiences may include physical contact between myself, the instructors, other program facilitators and other program participants. Any physical contact that I may have with the before mentioned individuals, will be both voluntary and non-intrusive, and is for the purpose of the experiential practice of learning. It will not include a complete physical, emotional and social evaluation. My participation in this educational process and associated experience(s) constitute my agreement to this potential physical contact.

I understand that portions of AlchemE Mentor may be recorded through photo, video and/or audio and I agree to allow EpiEnergetics Institute, LLC and its agents to use photos/video/audio taken of me for educational, commercial, marketing, and public relations purposes.

Any and all of the reproductions are the exclusive property of EpiEnergetics Institute, LLC and EpiEnergetics Institute, LLC and Epstein technologies, LLL are the copyright owners in perpetuity and as such may assign use as desired.

I shall have no claim, right or interest, including any right of publicity, to any of these reproductions and my signature gives permission to EpiEnergetics Institute, LLC and Epstein Technologies LLC to use any of said reproductions in any reasonable manner, including, but not limited to: publications, advertisements, web sites, and/or commercial products.

I acknowledge that I have been given the opportunity to ask questions regarding any aspect of this release, or withdraw from the experience at this time with a full refund, and I completely and fully understand the information on this form and agree to participate in the AlchemE Mentor Experience with the understandings and intention described above.