﹂♦¦♦¦♦¦♦¦♦¦♦¦♦¦♦¦♦¦---

I can't always be healthy, dear
Sometimes even the sharpest snap
It only depends on everything

---¦♦¦♦¦♦¦♦¦♦¦♦¦♦¦♦¦♦﹁

[Please cut off the bottom portion, when signed]
-----------✁----------------------------

I, x_____________, give permission to
[insert name] to examine my heart,
and anything that may be wrong, too.
I give full permission for him(/her) to
help me in any way. This includes the
following:

Talking
Relating to one another
Becoming friends
Getting close to each other

Please insert any other things that may be done under the following line. All notes will be read.
-----------------

You've written in your best handwriting.
It says:

нυggιηg
кιѕѕιηg
нσℓ∂ιηg нαη∂ѕ
ѕωєєт тαℓк
ιηтιмα¢у

You've crossed off the last one, thinking it may be too much.. But just barely..
If you can still see the word, maybe they can..
Maybe...