Release form for frequency treatment

[Richard Di Nucci]

Russell:

I am a newcomer to the Rife Forum, and I'm not a lawyer by trade. I commend you for starting this "release process", and hope that we can refine the wording soon, so that others on this Forum can use it whenever they feel the need to do so.

Since I know a fair amount about contract law, I've reviewed your draft "Release Form", as shown above (written in August 2012!), and I suggest a number of additions as well as clarifications.

Accordingly, here's my suggested re-write:
I, _________________________ fully acknowledge the implications of the following four (4) statements listed below; further, I fully understand, acknowledge, and accept the potential consequences of my actions either expressed or implied by the four statements below.

1. I have received a “Rife-type” of device, Model # _________________ (hereinafter referred to as “device”). I received this device from ________________________ on the date shown below.

2. I have been trained in the specific procedures that are to be used in connection with the safe operation of this entertainment device, and in specific safety precautions that are to be followed, before, during and after use of this device.

3. While in my possession, this device is to be used on an experimental basis by me only, and for the expressed experimental purpose of treating my own ailment(s), which I characterize as follows: ________________________________, __________________________, and _________________________________. (To All: Does this second portion of Statement # 3 sound OK to leave in, or should we delete any reference in this Release Form to "treatment of ailments"?)

4. Use of this device is for entertainment purposes only; however, I realize that in the process of using this device, I may experience some slight changes.
(Does that take care of any potential problem in Statement # 4?)



Signed: _________________________ and _______________________________
Temporary User of Device Owner of Device

Date: Date: