So, assuming most of the more legal aspects (anything dealing with the right to sue, and perhaps the right to request conventional medical care) are unenforceable in a court of law, how efficable is this long-winded and much-initialed document?

And what, if anything, is the penalty for breaching this contract? There doesn't seem to be any severance clause, so it seems the worst that could be done is excommunication. Did I miss something?

Finally, is it possible to argue that the whole contract is unconscionable, and on what grounds?