[Everything doTERRA] Looking for a sign-in sheet / record of people receiving samples with disclaimer

I'm working a wellness fair in 2 days & want to keep a record of people receiving samples & those interested in holding a party in their home, kind of like a sign-in sheet. I'd like the disclaimer to say something that by signing they give me permission to follow up with them and that they understand I am not attempting to diagnose, cure, advise or prescribe any illness or ailment.

Before reinventing the wheel, I thought I'd ask the group if anyone already had such a document and was willing to attach it to a reply on this forum.

Please send if you have!

Thanks.

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