Copyright & Media Agreements *

TERMS & CONDITIONS I am aware and agree that all parts of this program/course curriculum, the concepts, and the materials (including, posters, handouts, audio and video) of this program/course (specifically Divergent Collective) are protected by copyright and cannot be reproduced, distributed, copied, or otherwise duplicated, shared with others (in any way), written about, experimented with, or used in any form, without the express written permission of Apollonia Fortuna (the copywriter), Holding Consciousness, LLC, Awareness Studios, LLC. I agree that I may be audio or video recorded in this program for the purpose of receiving this audio or video after the program/class for the purpose of continued learning for myself and others. I have no rights to this audio and/or visual material.

I have read the above statement. I understand and I agree to the terms and conditions.

Signature *

Typing my name here acts as my signature.

First Name

Last Name

Today's Date *

MM

DD

YYYY