I have contacted Dr. Adolph Brown, III on my own volition for the purpose of obtaining
information solely for educational or entertainment purposes. I understand that the
information I shall receive is only the opinion of Dr. Adolph Brown, III. I also understand
that the information which I am receiving is based upon Dr. Brown’s books and tapes
and other instructional materials by him and The Wellness Group, Inc. I release Dr. Adolph
Brown, III and The Wellness Group, Inc. from any and all liability for any claims for damages
that I might incur as a result of this consultation including claims for emotional, mental,
physical, or financial damages.

I understand that Dr. Brown’s services are for educational and entertainment purposes
only. If I should experience as an added benefit any positive emotional, psychological,
mental, physical, or motivational benefits I understand that it is as not Dr. Brown’s intention
to serve as a therapist, psychologist, psychotherapist, psychoanalyst, sex therapist, addiction
therapist, marriage counselor, or member of the clergy and that he has never represented
himself in this capacity to me. I also understand that no therapy--psychological, marital,
addiction, sex, or communication therapy--will be done at any time; nor will there be any
formal evaluations. This Release and Waiver will apply to any and all follow-up or subsequent
telephone calls or e-mail sessions I should have with Dr. Brown. I also understand that all
e-mail or telephone communications will be completely personal and confidential.

If any legal actions should occur, all of Dr. Brown’s attorney fees and any additional costs
will be paid for by me.