6D Fast Mimicking Agreement

Please complete this form to officially join our Autumn Research Project exploring Fast Mimicking with Whole Plants. Remember, there is no charge for this program and we will be learning and tweaking it along the way together. Thank you for taking on this new adventure with us! You will receive all program materials on Friday, August 1st, 2025.

*First name

*Last name

*Email

*Birthday

Month

Day

Year

*Please check the months during which you will participating in the program, thank you. We hope you will join us for all three programs for optimal benefits.

August 16 - 25

September 20 - 29

October 17 - 26

*We are thrilled that you are interested in experiencing our new Fast Mimicking program. Could you please share a few of your goals and why you think this type of program could be helpful to you?

Is there anything you feel that we should know about you, your health status, medications or lifestyle before we begin this new journey together? Do you have any questions or concerns you would like to express before you meet with Sia for your consult?

I undertake this experience with the knowledge that I am in control of my choices.

I agree to adhere to the guidelines regarding all data collection requirements of this research project.

I agree to participate in this research project voluntarily and responsibly.

I accept that only I have the ability to choose my actions.

I accept that I have the power to change my life.

I agree not to share any of the information from the research project with anyone as it is the property of 6D Living.

I agree not to share any of the information from this research project as its efficacy is yet to be proven.

I agree that all information provided by 6D Living is not intended as medical advice and should not be used as such

6D Living

Stop.Breathe.Focus.Move.Flow.

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