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Please fill out the questionnaire to the best of your ability. Do not worry about punctuation or grammar. We are putting together a summary of your story to share with those in attendance.

Wedding
Image by Julian Hochgesang
Wedding Date
Month
Day
Year
I am the
Bride
Groom
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DISCLAIMER – Attendance at this event constitutes agreement in the below disclaimer. By purchasing a ticket and/or attending this or any other event hosted by Dr.Charlene Smith, Dating Coach, or the parent company Authentic Biz Doc, LLC including but not limited to events or workshops, I agree not to hold Dr. Charlene Smith or Authentic Biz Doc, LLC responsible for any outcomes, and release, waive all right to file suit against Dr.Charlene Smith and/or TAuthentic Biz Doc, LLC for any actions taken based upon the information provided during this event. Furthermore, I understand this event is for Entertainment/Educational Purposes Only.
For Entertainment/Educational Purposes Only is defined as no information herein is in any way intended to replace medical, legal, psychological, or professional advice or services, nor is it able to replace the free will of any individual. Information contained herein does not in any manner guarantee the certainty of meeting or matching with a life partner and disclaims any responsibility whatsoever for any consequences resulting from any decisions or course of action undertaken by any individual pursuant to this information. I do not hold Dr. Charlene Smith or the parent company Authentic Biz Doc, LLC responsible and release and waive all rights to file suit against Authentic Biz Doc, LLC and Dr. Charlene Smith for my actions based upon the information provided to me or another attendee during this event. While attending events, I completely understand that this event is for entertainment purposes only and completely release Dr. Charlene Smith and Authentic Biz Doc, LLC of any responsibilities for any and all outcomes.       

 

© 2024 by Charlene Smith, Ph.D. 

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