"*" indicates required fields Making adjustments to your live site can have detrimental effects unless performed by a professional familiar with your site’s architecture. Simple mistakes can create massive problems, & we don’t want you to have to experience these needlessly. If you prefer to take direct control of your site, we want to ensure you are aware of the risk & agree to the terms below: When using my chrisad website’s login credentials, I agree that I am responsible for any problems, errors, or outages resulting from my actions. This responsibility extends to the activities of persons I provide this information to outside of chrisad as well. I further acknowledge that I may be subject to hourly fees for the time spent by chrisad personnel to address website issues caused by the above.Proceed with Waiver* I understand and would like to continue with the waiver Practice InformationName* First Last Practice Name* Email* Date* MM slash DD slash YYYY Reason for request:*Limitations of the copyrighted materials contained in your website I AgreeI agree not to copy or otherwise retain or distribute the aforementioned original photographic art/designs/text elements or related images to any person (including the above-noted chrisad client) or entities in any form except as related to the use specifically outlined above. As it pertains, I agree to return in a timely manner any original artwork, magnetic media or other elements provided to me by chrisad. I, the undersigned, understand that any use of the chrisad-supplied website content, elements or related images other than outlined herein will be in strict violation of this agreement; I also understand that I will be aggressively pursued in both criminal & civil action for such a violation.CAPTCHACommentsThis field is for validation purposes and should be left unchanged.