Friend #1 Email Address:
Friend #1 Phone Number:
Friend #2 Email Address:
Friend #2 Phone Number:
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1. I am Registering on my own behalf. I am a legal Adult (18 yrs or older) and have my own Legal Authority
[SKIP to "b", "PSPD Member & Client Qualifications question below.]
2. I have lawful authority to complete this on behalf of the Registrant because they are a MINOR and I am their:
(A)ttorney, by the Parent/Guardian/Conservator
3. I have lawful authority to complete this on behalf of the Registrant, because, though an ADULT, they asked me to and I am their:
Please confirm that you I understand and agree that if aH4L! confirms you are a "NON-CITIZEN", your Registration and/or Membership will be voided upon our Notice.
i. I have an IQ greater than (>) 60
ii. I am of "Normal" Emotional Behavior, which I confirm, ALL the below are true:
a) I am NOT affected by any Behavioral Disease, Disorder, and/or Psychosis,
b) I DO NOT have, NOR have I ever had a diagnosis as in a) above, by a Physician or Psychologist,
c) I AM NOT avoiding Assessment or Treatment, or self-treating for any items listed in a) above
I am "financially independent" - meaning, I am provide for myself, or with government assistance, and
no other person or Trust or Organization provides for me financially as "DEPENDENT" or "Beneficiary".
On US or State tax returns (US 1040x), I DID/COULD claim "YOURSELF" as my correct "Filing Status" (Line6a).
My Income is less than thirteen thousand dollars (<$13,000) if my tax-status above, is SINGLE (Line1),
OR is less than than twenty-six thousand dollars (<$26,000) if my tax-status above is MARRIED (Line2 or 3)
My Net Worth is less than two thousand dollars (<$2,000) if my tax-status above is SINGLE,
OR is less than four thousand dollars (<$4,000) if my tax-status above is MARRIED
I am NOT NAMED as Beneficiary on any Trust, "Special Needs Trust" or Otherwise, "revocable" or "irrevocable",
valued at more than seventy-one hundred dollars (>$7,100), the median (2012) US cost of a Funeral.
* aHAND4 Life! highly respects the privacy of our interested Registrants. We will treat your information professionally, confidentiality and with a high level of data security! Please see our Policies below (Privacy, Disclaimers, etc.). WELCOME!