AdvancementsVirtual — Advancements in Conscious Heart Hypnotherapy Registration Name * First Name Last Name Email * Telephone * (###) ### #### Address Address 1 Address 2 City State/Province Zip/Postal Code Country Foundations Completed? * Yes No If No, Please list completed Hypnotherapy Training(s) Payment Agreement * Total Investment: $595 You will receive an email to complete payment. Payment is due in full. I understand Please contact me to discuss payment options Statement of Commitment (Select ALL) * I commit to attending all required days of the training in their entirety. I commit to respecting my fellow students and maintaining confidentiality. I commit to NOT teaching this course without expressed permission and training. I commit to sharing course materials (scripts) ONLY with others who have received this training. I commit to showing up with an open mind and an open heart for learning and growing. I commit to communicating with one of the teachers immediately if any unforeseen circumstance arises that would cause me to be out of integrity with any of the above stated commitments. Are there any physical limitations that would require accommodations during our meeting? * Signature * By typing your name below, you are providing a statement of agreement to adhere to the terms outlined in this document. Dates & Name of Advancements Attending * Select all that apply March 14-15, 2025 - Healing Birth Trauma with Melissa Ratliff-Sorrell Thank you! Have Questions? Contact Us, We would love to book a call with you! Name * First Name Last Name Email * Subject {Book A Call} * Message * Thank you!
