Membership Registration Land of Light Community - A Faith Based Church of Nature AssociationMember Intake Form Dear Member, We are pleased to offer you Land of Light Community services. Included is a private membership in Land of Light Community and Memorandum of Understanding/waiver form for the PMA caregiver. We thank you for your willingness to explore an alternative method of health and wellness. Land of Light Community is a lawfully formed Private Membership Association dedicated to providing professional services and advice concerning natural healthcare and services to its members. The following forms explain this relationship and the rights, benefits and responsibilities associated with membership. Thank you, Land of Light Community AssociationMembership Agreement/Waiver Form(Required) I agree to the Membership Agreement below.Overview I do hereby apply for membership in the Land of Light Community, hereafter termed “Land of Light Community” or “Land of Light Community Association,” or “The Association” a private membership association. With the signing of this membership agreement, I accept the offer made to become a member of The Association and have read and agree with the following Declaration of Purpose, Preamble and Memorandum of Understanding. Declaration of Purpose: The primary work of Land of Light Community is focused on educating and serving Land of Light Community members so that they have the latest knowledge in providing natural healing protocols, various spiritual transformational practices including retreats, intensives and classes. These protocols and practices include energy psychology techniques, energy balancing/healing modalities/technologies, vibrational healing techniques/technologies and consciousness techniques/technologies. Also included but not limited to acupuncture, Gua sha and cupping, muscle response testing (MRT), hypnotherapy, natural supplements and herbs, neurofeedback, spiritual, wellness and nutritional coaching, Qi Gong, yoga, breathwork, body work such as massage therapy, light therapy (including but not limited to low-level laser (light) therapy), meditation, sound, and light therapy, homeoprophylaxis and homeopathy to protect, improve and support the health of communities. Secondary work includes, but is not limited to grassroots, political, and economic efforts to ensure the protection of our work, and thirdly we are focused on building a natural health and spiritual community around nature and the work of energy and natural healing. 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 Land of Light Community member must be submitted in writing to Land of Light Community within three months of the incident of complaint. These will be sent to the Person, Committee, or Tribunal designated by Land of Light Community for evaluation and remediation action. ● Upon request, access to the Association’s Bylaws ● Guarantee that all Personal Health Information (PHI) remain in the custody and in the confidential holding of the Land of Light Community. 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 Land of Light Community will remain intact unless the member submits in writing their desire to withdraw membership or membership is terminated by The Association in accordance with bylaws. Preamble We believe that the First Amendment of the Constitution of the United States of America, and the Universal Declaration of Human Rights guarantees our members the rights of free speech, petition, assembly, and the right to gather together for the lawful purpose of advising and helping one another in asserting our rights under international law, the Federal and State Constitutions and Statutes. IT IS HEREBY DECLARED that we are exercising our right of “freedom of association” as guaranteed by the 1st and 14th Amendments of the U.S. Constitution and equivalent provisions of the various State Constitutions, which are excepted out of the powers of general government. This means that our association activities are restricted to the private domain only. 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, 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 Association” is to change existing life and health circumstances through teaching alternative health awareness, which enables members to improve their physical, emotional, and spiritual well-being and to provide members with the highest-level services, and/or research and effective modalities for prevention. The Association 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. MEMBERSHIP APPLICATION(Required) I have read and agree to the MEMBERSHIP APPLICATION belowLAND OF LIGHT COMMUNITY- A Church of Nature and Private Ministerial Association By joining Land of Light Community Association, a Private Membership Association and/or any website or Social Media Group started by, created by, maintained or organized by the Association, I agree to the terms and conditions of Land of Light Community Association, a Private Membership Association, Agreement as follows. 1. This Association of members declares that our objective is to allow the Private Membership Association founders and all Private Membership Association members with a platform in which to conduct all manner of private business with the Association and with other Associations and Association members, keeping all business in the private domain and utilizing the protections guaranteed by the Universal Declaration of Human Rights (UDHR), the Constitution to conduct business in private and to provide a platform for members to conduct business in the private domain under all protections acknowledged and guaranteed by the Constitution of the UNITED STATES, and any previous protections guaranteed. 2. We believe that the Universal Declaration of Human Rights (UDHR), the Constitution of the United States of America, the various constitutions of the several states of the union, and the Charter of Rights of Canada guarantees our members the rights of absolute freedom of religion, free speech, petition, assembly, and the right to gather together for the lawful purpose of helping one another in asserting our rights protected by those Constitutions, Charter and Statutes, in addition to the rights to be free from unreasonable search and seizure, the right to not incriminate ourselves, and the right to freely exercise all other unalienable rights as granted by our creator, our almighty God and guaranteed by those Constitutions, Charter, and Statutes. WE HEREBY Declare that we are exercising our right of “freedom of association” as guaranteed by the Universal Declaration of Human Rights (UDHR), the U.S. Constitution and equivalent provisions of the various State Constitutions, as well as the Charter of Rights of Canada. This means that our Association activities are restricted to the private domain only and outside of the jurisdiction of government entities, agencies, officers, agents, contractors, and other representatives as provided by law. 3. We declare the basic right of all of our members to decide for themselves which Association members could be expected to give wise counsel and advice concerning all matters including, but not limited to physical, spiritual, and mental health care assistance, law, and any other matter and to accept from those members any and all counsel, advice, tips, whom we feel are able to properly advise and assist us. 4. We expect the freedom to choose and perform for ourselves the types of therapies and treatments that we think best for diagnosing, treating, and preventing illness and disease and for achieving and maintaining optimum wellness, as well as the freedom to choose for ourselves any types of assistance which may be made regarding law and any other private business activity. 5. The mission of this Association is to provide members with a forum to conduct business between members in the private domain with the protections guaranteed within the aforesaid Constitution and Charter remaining fully intact. 6. The Association will recognize any person(s), natural or otherwise (irrespective of race, color, sexual orientation, or religion) who have joined this Association or any social media group organized, created, or managed by this Association and is in agreement with these principles and policies as a member of this Association, providing said person has not been sanctioned, exercised, or otherwise banned by the association, and will provide a medium through which its individual members may associate for actuating and bringing to fruition the purposes heretofore declared. 7. Membership to this Association, "Land of Light Community Association", and any of its groups may be terminated by the association Trustees or their designee, at any time, should they conclude that a specific member is interacting with them or any other members in a way that is contrary or detrimental to the focus, principles, and betterment of this Association. 8. I understand that, since The Association is protected by the First and Fourteenth Amendments to the U.S. Constitution, it is outside the jurisdiction and authority of Federal and State Agencies and Authorities concerning any and all complaints or grievances against The Association members or other staff persons. All rights of complaints or grievances will be settled by an Association designee, committee, or tribunal and will be waived by the member for the benefit of The Association and its members. By agreeing to this membership form I agree that I have sought sufficient education to determine that this is the course of action I want to take for myself. 9. I agree to join Land of Light Community Association, a private membership association under common law, whose members seek to help each other achieve better health and good quality of life. (A) I am voluntarily changing my capacity from that of a public person to that of a private member. My activities within The Association are a private contractual matter that I refuse to share with the Local, State, or Federal investigative or enforcement agencies. I fully agree not to pursue any course of legal action against a fellow member of The Association, unless that member has exposed me to a clear and present danger of substantive evil, and upon the recommendation and approval of the Association. 10. I enter into this agreement of my own free will without any pressure or coercion. I affirm that I do not represent any Local, State or Federal agency whose purpose is to regulate and approve products or services, or to carry out any mission of enforcement, entrapment or investigation. 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 association 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 Association. These pages consist of the entire agreement for my membership in The Association. I agree this contract began on the date of my joining "Land of Light Community Association". I declare that by joining this Association and/or the Associations websites and/or social media group(s), I have carefully read the whole of this document and I understand and agree with it. I also agree that, should I disagree with any part of this statement, I will immediately provide written notice of termination of my membership here. Signature(Required) Reset signature Signature locked. Reset to sign again Memorandum of Understanding(Required) First and Last NameI understand that members and service providers within The Association are or may not be medical doctors.(Required) I understand that within The Association no doctor-patient relationship exists but only a contract member to member association relationship. I have freely chosen to change my legal status as a public person or patient, customer, or client to a private member of The Association. I understand that, since The Association is protected by the First and Fourteenth Amendments to the U.S. Constitution, it is outside the jurisdiction and authority of Federal and State Agencies and Authorities concerning any and all complaints or grievances against The Association, any Trustee(s), members or other staff persons. All rights of complaints or grievances will be settled by an Association designee, committee, or tribunal and will be waived by the member for the benefit of The Association and its members. By agreeing to this membership form I agree that I have sought sufficient education to determine that this is the course of action I want to take for myself and my children. Because the privacy and security of membership records maintained within The Association, which are held to be inviolate by the U.S. Supreme Court, the undersigned member waives HIPAA privacy rights and complaint process. However, any medical or healthcare records kept by members of The Association will be strictly protected and only released upon written request of myself as member. I agree that violation of any waivers in this membership contract will result in a no contest legal proceeding against me. The Association does not participate in any medical insurance plans or collections on behalf of the member but will provide a suitable invoice for the member to pursue reimbursement by his/her insurance company, if applicable. Other aspects of informed consent will take place in my discussions with the providers and my fellow members of The Association. As I am voluntarily choosing this method of natural health care, wellness, and disease prevention, I will not hold The Association or its members financially liable for any particular outcome regarding my heath. I agree to discuss my concerns with the Association members and to seek appropriate medical treatment, homeopathic or otherwise, should the need arise. Consent(Required) I agree to join the Land of Light Community, a private membership health association under common law, whose members seek to help each other achieve better emotional, physical and spiritual health and overall a good quality of life. My activities within The Association 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 Association, 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 Association, unless that member has exposed me to a clear and present danger of substantive evil, and upon the recommendation and approval of the Association.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 association at any time, and that my membership can and will be revoked if I engage in abusive, aggressive, violent, menacing, destructive or harassing behavior towards any other member of The Association. These pages consist of the entire agreement for my membership in The Association. Payment of any dues, fees or program costs, if applicable and delivery of these signed documents to an Association representative is considered sufficient for my one-time membership contract. 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