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1. I, (YOUR NAME HERE), agree, under the laws of the State of California, to surrender all rights, in perpetuity, to any and all verbal and/or video representations of myself or my works, or any and all artifacts, keepsakes, or even doodles made on cocktail napkins, to the Celebrity Clinic of Glendale, Inc.
2. I, (YOUR NAME HERE), agree, under the laws of the State of California, that I will never reveal the special hypnotic suggestion used by master hypnotist Glen Faraday, nor will I remember anything that went on during my stay at the Celebrity Clinic of Glendale.
3. I, (YOUR NAME HERE), agree, under the laws of the State of California, to endorse wholly and fully, the complete line of "Dr. Latham's Own" stewed fruits and vegetables, and "Al's Wheat-free Crackers."
4. I, (YOUR NAME HERE), agree, under the laws of the State of California, that if at any time during my stay at the Celebrity Clinic of Glendale my body fat percentage exceeds 8%, I forfeit the state-allocated payment (still in dispute) of four hundred and eighty dollars, although I also acknowledge that the Celebrity Clinic of Glendale will perform, on my approval, a lyposuction procedure to reduce the percentage of body fat so that it does not exceed 8%.
5. I, (YOUR NAME HERE), agree, under the laws of the State of California, that under no circumstances will I ever reveal Al's last name.
6. I, (YOUR NAME HERE), agree, under the laws of the State of California, to observe all the laws of the State of California, but would allow that, given certain conditions, and under certain circumstances, would be able to look the other way when it comes to reporting any monetary transactions that take place within the confines of the Celebrity Clinic of Glendale.
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Signed,
_____________________ DATE: __________