EKAA Integrated Clinical Hypnotherapy Association
All About You Wellness Centre

REGISTRATION FORM

Course: Level 5 – Certification Course in Integrated Clinical Hypnotherapy

1. I confirm that I am over 18 years of age and choose to attend this workshop on of my own free will.
2. I agree that all practices done on, for, or even by me at All About You during the workshop is done with my full consent and at my will.
3. I confirm that I have no mental / psychological ailment / disorder and am not on any psychiatric / psychological treatment/s and/or drug/s.
4. I agree to indemnify, release, remise and forever discharge, the treating facilitator, AAY, its employees, its consultants, its property owners or anyone one at AAY from any obligation or liability whatsoever, all claims, demands, damages, injuries, actions or causes of actions whatsoever, before, during or after volunteering to participate in such sessions.
5. I have read and understood the aims and objectives of the course curriculum.
6. I am aware of the modalities of therapy used is integrated clinical hypnotherapy, and the primary function of the workshop is to gain knowledge and understanding on this modality. I also understand that the result of any practice session within the workshop can also depend on external factors and the clients’ own efforts.
7. I understand that completion of all workshops conducted by EKAA and being certified after the final step are meant to enhance my competency as a practicing Integrated Clinical Hypnotherapist and by no means endorses that I am a medical doctor/practitioner.
8. I give consent to document/record my session in demonstrations (if any) and use the same as a part of the teaching module and / or research work in this field.
9. I have not been debarred / advised not to continue with attending this level of EKAA curriculum whether verbally or in writing.
10. I understand that I stand to forfeit my fees completely if I violate any of the terms and conditions of this disclaimer.
11. I confirm that all the details provided by me on the form are true to the best of my knowledge.
12. I confirm that I have read and understood the terms and conditions and adhere by the same.