Heart My Life Private Membership Agreement

Heart My Life is a Private Membership Association with benefits and services offered by members for members. To become a member, first sign the membership agreement below.

A copy of this form will be sent to your email address.
Heart My Life
(A Private Member Association)
Member Contract

I, ___________________________________, do hereby apply for membership in Heart My Life, a private membership association, also an auxiliary of a ministry. With the signing of this membership agreement I accept the offer made to become a member of Heart My Life, and have read and agree with the following "Declaration of Purpose" and "Memorandum of Understanding" and accept the terms expressed therein:

Declaration of Purpose

The Board of Directors hereby declares that our main objective is to support the health of the bodies, souls, and spirits of the masses through educational programs and mentorship, sharing of research, and member-to-member interactions.
We believe the Constitution of the United States is one of the greatest documents that was ever devised by man, and the signers of the Declaration of Independence did so out of love for God and their country. The Composers of the Constitution had a deep belief in God and His Holy word and the very law they used came from the Bible. This Association and its Membership believes that the First Amendment to the Constitution for the United States of America guarantees our members the rights of free speech, petition, assembly, right to contract, and the right to gather together for the lawful purpose of advising and helping one another in asserting our rights as so evidenced as follows: "Congress shall make no law respecting an establishment of religion, or prohibiting the free exercise thereof; or abridging the freedom of speech, or of the press; or the right of the people peaceably to assemble, and to petition the Government for a redress of grievances.” This Agreement is entered to maintain and protect all God-given rights, constitutional guarantees, and freedom of choice over our lives and bodies for every Member of our Association.
IT IS HEREBY Declared that we are exercising our right of “freedom of association” as guaranteed by the First and Fourteenth Amendments of the Constitution for the United States of America and equivalent provisions of the various state constitutions. This means that our Association activities are restricted to the private domain only.
We declare the basic right of all of our members to select overseers and elders from our number who could be expected to give wisest counsel and advice concerning the need for spiritual, physical and mental health wellness assistance and to select from our number those members who are the most skilled to assist and support our members in these pursuits.
We proclaim the freedom to choose and perform for ourselves the types of assessments and wellness suggestions that we think best for assessing and preventing illness of our spirits, bodies and minds and for achieving and maintaining optimum wellness. We proclaim and reserve the right to health options that include, but are not limited to, cutting edge assessments and wellness suggestions practiced or used by any types of spiritual leaders or healers of the world over, whether traditional or nontraditional, conventional or unconventional.
Specifically, the mission of our Association is to disciple Members, provide members with the highest level of education, mentorship, compassion, quality assessments, and the most effective methods available. We emphasize our members’ spiritual and health condition, and not merely the symptoms experienced. Our Association understands that wellness has many dimensions and strives every day to stay on the leading edge of new methodologies as they develop. The Association provides comprehensive, conventional and complementary assessments for all aspects of a member’s spiritual, physical, mental, and emotional issues and provides the most effective means of wellness at an affordable fee. More specifically, the Association specializes in Godly advice and prayer when needed and requested by its members. The Association also specializes in assessments of overall health, wellness, menus, exercise, vitamins, minerals, supplements, non-invasive therapies, and self-care methods related to healthy living.
The Association will recognize any people/person as a Creation of God irrespective of nationality or color of skin or religion who is in agreement with these principles and policies as a member, and will provide a place of solitude through which its individual members may associate for actuating and bringing to fruition the principles and purposes heretofore declared.


MEMORANDUM OF UNDERSTANDING

I agree to join the Association, a private membership embracing nature's law and Almighty God, under common law, whose members seek to help each other achieve a better relationship with God, better health, and live longer with good quality of life.

The Board of Directors and members has chosen Lisa Cherie Mills, one of the Children of God and a living soul of Indiana, as the best qualified to perform assessments to members of the Association and entrust her to select other members to assist her in carrying out the work of the Association.

I understand that the fellow members of the Association that provide member services of any kind, do so in the capacity of a fellow member and not in the capacity as a licensed health care provider. No caregiver-client relationship exists but only a Contract member-member Association relationship. In addition, I have freely chosen to change my legal status as a public patient, customer or client to a private member of the Association.

I further understand that it is entirely my own responsibility to consider the advice and recommendations offered to me by my fellow members and to educate myself as to the efficacy, risks, and desirability of the assessments given by my fellow contracted members. Any action I choose to take is my own carefully considered decision.
I understand that the ministers, overseers, elders, educators, group leaders, and fellow members of the Association might offer me advice, suggestions, and assessments that do not necessarily conform to conventional advice or medical care. I do not expect these benefits to include on-call coverage, hospital care, or the usual and customary care provided by most health practitioners. I will receive such primary and specialist care elsewhere. I fully understand that the benefits I receive from the Association “WILL NOT” be covered by my health insurance or by Medicare.

As a Member, I accept the challenge of doing my part to educate myself about the functional operations of the body which God has given to me, to develop an understanding of the natural remedies and alternative methods of care that are available, and choose physical, mental, emotional, and spiritual options that are both very safe and have a reasonably good chance to succeed if I take care of my vessel. I understand the techniques and strategies discussed within the Association strive to meet this objective. I also acknowledge that no agreement or recommendation is foolproof. If I choose to forgo drugs, treatments, surgery, or radiation that has been recommended to me by others, I fully accept the risk that I might suffer serious consequences from that choice. Other aspects of informed consent will take place in my discussions with the leadership and my fellow members of the Association.

Any request by me to a fellow member to assist me or provide me with the aforementioned assessment is my own free decision in an exercise of my rights and made by me for my benefit, and I agree to hold the Board of Directors, Contracted Workers, Members and other worker members in the Association, or the Association itself, harmless from any unintentional liability for the results of such assessments, except for harm that results from instances of a clear and present danger of substantive evil as determined by the Association, the Ecclesia and as stated and defined by God’s Word.

I fully agree not to file a malpractice lawsuit against a fellow member of the Association. Should any remedy be sought for any injury believed to be incurred, the Ecclesia shall determine if an injury exists or if a member has exposed me to a clear and present danger of substantive evil and if so and the Ecclesia shall set forth the remedy. I acknowledge that the members of the Association do not carry malpractice insurance.

In addition, I understand that, since the Association is protected by God’s Word, the Ecclesia, and 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 members of the Board of Directors, members or other Contracted Persons.

Because the privacy and security of membership records maintained within the Association have been held to be inviolate by the U.S. Supreme Court, the undersigned member waives HIPAA privacy rights and complaint process.

Any records kept by the Association will be strictly protected as private property of the Association and not the members' property and therefore un-releasable to any person/corporation/agency/practitioner and or a law firm or an attorney. In addition, the Association does not participate in any medical insurance plans or collections on behalf of the member nor will the Association provide an invoice for the member to pursue reimbursement by his/her insurance company, if applicable.

My activities within the Association are a private matter that I refuse to share with the State Medical Board, the FDA, FTC, Medicare, Medicaid, my physicians or my own insurance company. All records and documents remain as property of the Association.

I agree to treat all members within the Association with patience, kindness, and love as is befitting a Child of the King. I understand that abusive or unbecoming behavior or any violation of the terms of this agreement can/will result in my removal from this private membership association without refund or recourse.

I enter into this agreement of my own free will or on behalf of my dependent without any pressure or promise of cure. I affirm that I do not represent any State or Federal agency whose purpose is to regulate and approve products. I affirm that I am not an agent of the defacto government or any defacto government agency. Any information given/taken by a State or Federal agent can not be used in a court of law or against the Association, Board Members, Members, or Contracted persons. It is as void and as if it never existed.

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, yet agree to abide by these terms for a period of [20] years thereafter. These pages, including the "Declaration Of Purpose" as well as the "Memorandum of Understanding" consist of the entire agreement for my membership in the Association and they supersede any previous agreement.

I understand that the general membership entitles me to receive those benefits declared by the Board Members, Members and Contracted Persons to be “general benefits” free of further charge. I agree I may be asked to pay “special assessments” levied for any additional benefits that I may be offered by the Association.

Upon signing and submitting this form, I request to enter into a lifetime membership agreement, said term beginning with the date of the signing of this agreement, or I acknowledge that clicking on the “agree button” at heartmylife.com and digitally signing my name has the same full effect by law as formally placing my signature on this document, as is common practice in this internet era.

By these presents do hereby certify, I attest and warrant that I have carefully read the above and foregoing Heart My Life Application for Membership and I fully understand and agree with the same.
I acknowledge that typing my name and/or clicking on the “agree button” on this form has the same full effect by law as formally placing my signature on this document, as is common practice in this internet era.