I ACKNOWLEDGE THAT I HAVE READ AND UNDERSTOOD THIS AGREEMENT, THAT I HAVE EXECUTED THIS AGREEMENT VOLUNTARILY, AND THAT THIS AGREEMENT IS TO BE UPON MYSELF, MY HEIRS, ESTATE, EXECUTORS, ADMINISTRATORS AND REPRESENTATIVE. I UNDERSTAND THAT IF I DO NOT AGREE TO THIS MY ADMISSION FEE WILL NOT BE CHARGED, OR IF PREVIOUSLY CHARGED WILL BE REFUNDED.