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HGS 1.0 Program Facilitation Blueprint
Wellness Agreement Draft
[Consciously Concepted]
Address: [2219 Main Street Santa Monica, CA., 90405]
Phone: [970.922.9113] | Email: [consciouslyconecpted@gmail.com]
[]
Invoice / Purchase Agreement
Invoice Number: [Invoice Number]
Date: [Issue Date]
Due Date: [Due Date]
Client Information
Client Name: [Client Name]
Address: [Client Address]
City, State, ZIP Code: [City, State, ZIP Code]
Phone Number: [Client Phone Number]
Email Address: [Client Email Address]
Program Details
Program Selected: [Tier ?]
Program Fee:
Total Cost: ?
Payment Terms & Methods
Description of Services
Service
Details
Quantity
Unit Price
Total
Chakra Detox & Purification Program
Full 18-month wellness program, including guided detox protocols, mindfulness practices, and support materials.
[Qty]
[$Price/Unit]
[$Total]
One-on-One Coaching Sessions
Personalized sessions to address specific goals or challenges related to the program. (Up to 2 hours each.)
[Qty]
[$Price/Unit]
[$Total]
Aura Scans & Analysis
Detailed biofield scans to assess energetic imbalances and progress throughout the program.
[Qty]
[$Price/Unit]
[$Total]
Supplements Package (Optional)
Includes all recommended plant-based supplements tailored to the detox protocols.
[Qty]
[$Price/Unit]
[$Total]
Chakra Maintenance Sessions
Post-program one-on-one sessions to maintain energetic balance and ongoing support.
[Qty]
[$Price/Unit]
[$Total]
Educational Course Add-On
Comprehensive online course on the chakra system and foundational wellness principles.
[Qty]
[$Price/Unit]
[$Total]
Customized Meal Plans
Tailored meal plans aligned with program detox protocols to support chakra and organ health.
[Qty]
[$Price/Unit]
[$Total]
Advanced Sound Healing Sessions
Immersive sound therapy designed to harmonize energy and restore balance.
[Qty]
[$Price/Unit]
[$Total]
Biofeedback Assessments
In-depth evaluations of chakra energy patterns using cutting-edge biofeedback technology.
[Qty]
[$Price/Unit]
[$Total]
Guided Meditation Package
A library of tailored guided meditations supporting emotional resilience and energy alignment.
[Qty]
[$Price/Unit]
[$Total]
Customized Detox Protocols
Individualized protocols for addressing specific physical or energetic needs.
[Qty]
[$Price/Unit]
[$Total]
Curated Embodiment Practices
Detailed guidance on breathwork, meditation, movement, and energy alignment techniques to support balance.
[Qty]
[$Price/Unit]
[$Total]
There are no rows in this table
Total Cost
Subtotal: [$Subtotal]
Discount (if applicable): [$Discount]
Total Amount Due: [$Total Amount Due]
Payment Terms & Methods
Terms & Conditions
Acknowledgment
By signing below, the client acknowledges that they have read, understood, and agreed to the terms and conditions outlined in this agreement. The client accepts responsibility for their participation in the program and acknowledges that [Your Business Name] and the Program Creator are not liable for any outcomes resulting from the program or the use of supplements.
Client Signature: ___________________________
Date: ___________________________
Representative Signature (Optional): ___________________________
Date: ___________________________
Program Creator: Amber Sophia
Signature: ___________________________
Date: ___________________________
Acknowledgment
By signing below, the client acknowledges that they have read, understood, and agreed to the terms and conditions outlined in this agreement. The client accepts responsibility for their participation in the program and acknowledges that [Your Business Name] is not liable for any outcomes resulting from the program or the use of supplements.
Client Name:
Client Signature: ___________________________
Date: ___________________________
Representative Signature (Optional): ___________________________
Date: ___________________________
Digital Signature (Optional): This agreement is valid with a digitally signed copy.
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