ELEMENTS OF LIFE ECCLESIASTICAL HEALTH ASSOCIATION

MEMBERSHIP AGREEMENT & ACKNOWLEDGMENT

This Membership Agreement (“Agreement”) is entered into voluntarily between the undersigned individual (“Member”) and the Elements of Life Ecclesiastical Health Association (ELEHA), a values-based, spiritually informed natural health association.

This Membership Agreement exists to clearly inform and protect the Member, the Practitioner, and the Elements of Life Ecclesiastical Health Association (ELEHA). It establishes shared understanding, appropriate boundaries, and the nature of the relationship before any services are offered. By signing this agreement, all parties acknowledge the scope, limits, and responsibilities involved, which both safeguards everyone and enables the Practitioner to fully and properly operate within their authorized scope of practice in an ethical, respectful, and transparent manner.

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I. Nature and Purpose of ELEHA

ELEHA is a values-based, spiritually informed natural health association focused on supporting balance, vitality, and well-being through non-medical, non-invasive, and educational approaches.

ELEHA services are rooted in:

• natural health principles
• energetic balance and awareness
• spiritual and personal development
• lifestyle and traditional wellness education

Membership in ELEHA does not require joining a church, adopting a new religion, or changing one’s personal beliefs.
Members retain full freedom of spiritual, religious, philosophical, or personal identity.

ELEHA does not operate as a medical clinic and does not provide medical diagnosis or medical treatment.

II. Establishment of Membership Relationship

By signing this Agreement, I acknowledge that:

• I am voluntarily becoming a member of a values-based natural health association
• My relationship with ELEHA practitioners is educational, spiritual, and supportive, not medical
• Membership is established before any sessions, guidance, or services occur
• Participation is based on shared values around natural, holistic, and spiritually informed approaches to health

I understand that this membership establishes clarity, transparency, and informed participation prior to any services.

III. Scope of Services

I understand that services offered through ELEHA and its practitioners may include:

• energetic and spiritual support
• movement, breathwork, meditation, and awareness practices
• lifestyle and wellness education
• traditional and cultural approaches to health and balance
• touch for health including structural and energetic alignment and touching for health
• classical dietary and nutritional energetics
• herbal teas or botanical offerings presented as lifestyle or energetic support
• values-based or spiritually informed guidance

All services are provided as educational, energetic, spiritual, and lifestyle support only and given to assist the Jing, Qi and Shen to come to harmony.

IV. Non-Medical Acknowledgment

I expressly acknowledge and agree that:

• ELEHA practitioners are not acting as licensed medical providers, unless separately credentialed
• Services do not include:
  • medical diagnosis
  • treatment or prevention of disease
  • prescription of medications
  • medical nutrition therapy
• No medical claims or guarantees are made

I retain full responsibility for my medical care and agree to seek licensed medical professionals for medical diagnosis, treatment, or emergencies.

V. Nutrition, Herbs, and Botanical Practices

I understand that any discussion or offering related to food, nutrition, herbs, or botanical teas is provided as:

• traditional and cultural education
• energetic and lifestyle support
• spiritual or personal wellness exploration

Such suggestions are not prescriptions, not medical treatments, and are entirely voluntary. I may accept or decline any suggestion at my own discretion.

VI. Spiritual Values & Bodily Integrity

I acknowledge that ELEHA respects and supports individual values and conscience, which may include:

• belief in natural or holistic approaches to health
• respect for bodily integrity and personal autonomy
• preference for non-invasive or spiritually informed wellness practices

I understand that ELEHA may acknowledge these values within a values-based or spiritually informed context, but does not provide legal or medical guarantees related to external requirements or mandates.

VII. Autonomy, Responsibility & Medical Care

I affirm that:

• My participation in ELEHA is entirely voluntary
• I may withdraw from membership at any time
• I remain responsible for my own health decisions
• I understand and acknowledge that ELEHA does not interfere with medical treatment, emergency care, or licensed healthcare services.

ELEHA encourages members to seek appropriate medical evaluation, diagnosis, and treatment from qualified licensed healthcare professionals whenever needed.

VIII. Confidentiality & Respect

ELEHA and its practitioners commit to respectful, ethical, and confidential conduct within the boundaries of this association, except where disclosure is required by law.

IX. Dispute Resolution

Any concerns or disputes related to membership or services will, when possible, be addressed first through internal and values-based resolution within ELEHA prior to external action.

X. Optional Communications & Information Sharing (Not Required)

ELEHA occasionally shares information related to:

• educational programs or training opportunities
• events, retreats, or lectures
• articles or updates aligned with ELEHA’s educational mission

Participation in communications is entirely optional and is not required for membership or services.

Please indicate your preference below:

• ☐ Yes, I would like to receive informational emails or updates about educational programs, events, or opportunities related to ELEHA and its educational affiliates.
• ☐ No, I do not wish to receive additional communications beyond those required for my membership.

I understand that I may change my preference or unsubscribe at any time.

XI. Acknowledgment & Acceptance

By signing below, I affirm that:

• I have read and understand this Agreement
• I enter into membership freely and without coercion
• I understand the nature, scope, and limits of ELEHA services
• I understand that this is not a medical provider relationship
• I understand that this membership does not require joining a church or religion

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MEMBER INFORMATION

Full Name: ______________________________________Date of Birth: ______________________
Address: _________________________________________________________________

Email: __________________________________________

MEMBER SIGNATURE

Signature: ______________________________________Date: ______________________________

ELEHA AUTHORIZED REPRESENTATIVE

Name / Title: ___________________________________
Signature: _____________________________________
Date: _________________________________________