I recognize, acknowledge and agree that I am exclusively responsible for my present and future condition in life and for the choices and decisions I make affecting my life. With that in mind, and solely on my own volition and in the independent exercise of my own free will, on the ___ day of ___, 20___, I voluntarily signed and submitted to CHURCH OF SCIENTOLOGY (hereinafter "the Church") a RELIGIOUS SERVICES ENROLLMENT APPLICATION, AGREEMENT AND GENERAL RELEASE so that, upon its acceptance by the Church, I may begin to participate in Religious Services of the Scientology religion.
1. Recognition and Agreement
I recognize, acknowledge and agree that:
a. Religious Nature
Scientology is a religion, the Church is a church of the Scientology religion.
b. Religious Services and Beliefs
The beliefs, teachings, practices and services of the Scientology religion are exclusively religious in nature, and are set forth in the writings and spoken words of LRH on the subjects of Dianetics and Scientology published with the identifying S and double triangle or Dianetics triangle symbol, and all services or application of the principles of Mr. Hubbard provided to me by the ministers or staff of the Church and all other Scientology churches and organizations, including without limitation: "auditing," which is Scientology's unique form of religious counseling encompassing all services on the Scientology Classification, Gradation and Awareness Charts which includes, without limitation, all levels, rundowns, grades, assists, reviews, repairs, seminars, co-audits; all Scientology congregational services of any description; "training," which is the study of the scripture of the Scientology religion on the road to achieving spiritual freedom and salvation and includes without limitation all services identified on the Scientology Classification, Gradation and Awareness Chart, all courses, internships and cramming; the application of Scientology Ethics and justice technology, which are both exclusively religious components of the practice of the Scientology religion; the study and the application of the principles contained in the administrative writings of LRH used within the Church; and any and all other services or use of the technology of L. Ron Hubbard, without limitation, provided to me by the ministers or staff of the Church and all other Scientology churches and organizations.
2. Ecclesiastical Files
In connection with my participation in Religious Services, the Church, and all other Scientology churches and organizations in which I participate in such Religious Services, may compile a folder or folders containing its notations of my spiritual progress, known as a "Preclear Folder" or "PC Folder," as well as other ecclesiastical files containing notations regarding my spiritual progress.
3. Church Property Rights
I specifically acknowledge and agree that all of my PC Folders and other ecclesiastical files containing notations regarding my spiritual progress, as well as the contents thereof, are the sole and exclusive property of Church of Scientology International. They are not mine and I have no legal, ecclesiastical or other rights whatsoever with respect to them.
a. Confidentiality Requirements
As a matter of religious belief and of ecclesiastical doctrine and law, all such folders and files, and the contents of such folders and files, are kept confidential from all persons who lack the ecclesiastical authority to gain access to such documents, including me (even if I ever gain the ecclesiastical authority to gain access to such files of others); are subject to all applicable clergyman-penitent privileges; and are neither comprehensible nor meant to be understood by anyone whose training and expertise in their interpretation is not recognized and sanctioned by Church of Scientology International.
b. Spiritual Damage
As a matter of religious belief and of ecclesiastical doctrine and law, disclosure of the contents of all such folders and files, or any of them, or any portion of any of them, to me or to anyone lacking the ecclesiastical authority to gain access to them would be spiritually damaging to me, not only in this lifetime, but in future lifetimes as well.
c. Purpose of Files
As a matter of religious belief and of ecclesiastical doctrine and law, disclosure of the contents of all such folders and files, or any of them, or any portion of any of them, to me or to anyone lacking the ecclesiastical authority to gain access to them would serve no useful purpose at all. They are not stenographic transcriptions or notations regarding my participation in Religious Services, and they are intended for absolutely nothing except the progress of my spiritual salvation.
d. Violation of Religious Law
As a matter of religious belief and of ecclesiastical doctrine and law, disclosure of the contents of all such folders and files, or any of them, or any portion of any of them, to me or to anyone lacking the ecclesiastical authority to gain access to them would only violate the religious belief and ecclesiastical law and doctrine that they are absolutely confidential, privileged, and sacrosanct.
4. Waiver of Rights
Accordingly, while I do not believe I have any rights whatsoever in this regard, I nevertheless forever abandon, surrender, waive, and relinquish without limitation any and all rights of ownership, possession, custody, control, access, copying, and viewing of my PC Folder or Folders and all other ecclesiastical files containing any notations regarding my spiritual progress, both with respect to the folders and files themselves and the information contained in them.
5. Irrevocable Agreement
The abandonment, surrender, waiver, and relinquishment to which I refer in the immediately preceding paragraph is unconditional and irrevocable and applies equally to anyone acting or purporting to be acting on my behalf or for my benefit, whether I am alive or dead, whether I am disabled or incapacitated, and under any and all circumstances foreseen or unforeseen, in perpetuity, without exception or limitation.
6. Legal Protection
Should I or anyone acting or purporting to be acting on my behalf or for my benefit ever seek access to any of my PC Folders or any other ecclesiastical file containing any notations regarding my spiritual progress, I intend for the submission of this Contract to the presiding judicial official to be a complete and sufficient basis for the immediate denial of whatever access is being sought with prejudice to any other or further effort to breach the absolute confidentiality of those materials or the exclusive right of Church of Scientology International to preserve their absolute confidentiality.
7. Church Commitment
In exchange and as consideration for the foregoing, Church of Scientology International agrees to preserve inviolate and in perpetuity the confidentiality of my PC Folders and all other ecclesiastical files containing any notations regarding my spiritual progress.
Signature Section
DATED this ___ day of ___ 20___.
______________________________
(SIGNATURE)
_______________________________
(Printed Full Name)
_______________________________
(Home Address)
Parent/Guardian Signature (if applicant is a minor):
_______________________________
(Signature of Parent or Guardian)
_______________________________
(Printed Full Name)
_______________________________
(Home Address)
Witness Signature:
_______________________________
(Signature of Witness)
_______________________________
(Printed Full Name)
CHURCH OF SCIENTOLOGY INTERNATIONAL
By its: ___________________________
Assistant Secretary (SIGNATURE)