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Service Agreement for Chakra Detox & Purification Program

[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:
Program Enrollment: $750
Chakra Foundations Course: ?
7 Chakra Sessions ($200/session): ?
Add Ons: ?
Total Cost: ?

Payment Terms & Methods

Accepted Payment Methods: Credit Card, Bank Transfer, PayPal, or Venmo.
Payment Breakdown:
$750 due upon signing (program enrollment).
($200 billed per session (7 sessions total, invoiced before each session.) IF APPLICABLE
($250 for Chakra Foundations Online Course, due before course access.) IF APPLICABLE
(Add Ons) IF APPLICABLE
Optional Add-Ons: Priced and billed separately based on request.
Description of Services
Service
Details
Quantity
Unit Price
Total
1
Chakra Detox & Purification Program
Full 18-month wellness program, including guided detox protocols, mindfulness practices, and support materials.
[Qty]
[$Price/Unit]
[$Total]
2
One-on-One Coaching Sessions
Personalized sessions to address specific goals or challenges related to the program. (Up to 2 hours each.)
[Qty]
[$Price/Unit]
[$Total]
3
Aura Scans & Analysis
Detailed biofield scans to assess energetic imbalances and progress throughout the program.
[Qty]
[$Price/Unit]
[$Total]
4
Supplements Package (Optional)
Includes all recommended plant-based supplements tailored to the detox protocols.
[Qty]
[$Price/Unit]
[$Total]
5
Chakra Maintenance Sessions
Post-program one-on-one sessions to maintain energetic balance and ongoing support.
[Qty]
[$Price/Unit]
[$Total]
6
Educational Course Add-On
Comprehensive online course on the chakra system and foundational wellness principles.
[Qty]
[$Price/Unit]
[$Total]
7
Customized Meal Plans
Tailored meal plans aligned with program detox protocols to support chakra and organ health.
[Qty]
[$Price/Unit]
[$Total]
8
Advanced Sound Healing Sessions
Immersive sound therapy designed to harmonize energy and restore balance.
[Qty]
[$Price/Unit]
[$Total]
9
Biofeedback Assessments
In-depth evaluations of chakra energy patterns using cutting-edge biofeedback technology.
[Qty]
[$Price/Unit]
[$Total]
10
Guided Meditation Package
A library of tailored guided meditations supporting emotional resilience and energy alignment.
[Qty]
[$Price/Unit]
[$Total]
11
Customized Detox Protocols
Individualized protocols for addressing specific physical or energetic needs.
[Qty]
[$Price/Unit]
[$Total]
12
Energy Alignment Practices
Detailed guidance on breathwork, movement, and energy alignment techniques to support balance.
[Qty]
[$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

Accepted Payment Methods: We accept Credit Card, Bank Transfer, PayPal, and Venmo for your convenience. A detailed invoice will accompany your Service Agreement for seamless processing.
Payment Deadline: Payment must be received by the specified due date to confirm your participation in the program and ensure access to all materials and scheduled services.

Terms & Conditions

Commitment to Program: By purchasing this service, the client acknowledges their commitment to the selected detox and wellness program, including any associated supplement packages if chosen.
Refund Policy: Refunds are not provided for completed services or consumed supplements. For unused services, refunds may be provided at the discretion of [Consciously Concepted], minus administrative fees.
Client Responsibility: This program is for individuals ready to take responsibility for their health. It is the client’s responsibility to follow the provided protocols and consult their healthcare provider before beginning.
Plant-Based Supplements: All recommended supplements are plant-based. However, the client is responsible for ensuring no contraindications with their current health or medications.
Health Clause: This program is not a substitute for professional medical advice, diagnosis, or treatment. The information provided is for educational purposes only. Clients are advised to consult a licensed healthcare provider before starting any detox or wellness program, particularly if they have pre-existing conditions, are pregnant or nursing, or are taking medications. [Consciously Concepted] is not liable for any adverse effects resulting from participation in this program or use of the recommended supplements.
Liability Waiver: The client agrees to release and hold harmless [Consciously Concepted], its employees, and representatives from any and all claims or liabilities arising from their participation in the program or use of the supplements provided.
Confidentiality and Privacy: All client information provided will remain confidential and will not be shared with any third parties without prior written consent, except as required by law. [Consciously Concepted] adheres to strict privacy standards to protect personal and health-related data.
Customizations or Modifications: Requests for customizations or modifications to the program may incur additional fees, which will be discussed and agreed upon before implementation.
Missed Sessions or Scheduling Changes: If a session is missed or rescheduled without at least [24/48 hours] notice, a cancellation fee of [$50] may apply. Sessions must be completed within the agreed program timeline unless otherwise specified.
Supplement Disclaimer: Supplements are not included in the program cost unless explicitly stated. The client is responsible for purchasing any recommended supplements. [Consciously Concepted] does not guarantee availability or specific results from the use of these products.
Termination Clause: Either party may terminate this agreement at any time with written notice. In the event of termination, the client will be billed for any completed services and/or provided materials up to the termination date.
Force Majeure Clause: Neither party shall be held liable for delays or failure to perform due to circumstances beyond their reasonable control, including but not limited to acts of nature, government restrictions, or unforeseen events.
Disclaimer on Results: Results from this program may vary based on individual health conditions, adherence to the program, and other external factors. [Consciously Concepted] does not guarantee specific outcomes.
Communication Preferences: Clients agree to communicate any questions, concerns, or feedback regarding the program via [consciouslyconcepted@gmail.com/ 970.022.9113]. Timely communication ensures optimal support throughout the process.

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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