• REGISTRATION FORM

  • PARTICIPATION CONSENT and RELEASE

  • I understand that the information contained and presented in this training is useful in creating rapid and lasting change and do hereby agree to use this information only for the purpose of self-improvement and/or to achieve a positive outcome when working with others. The power of these techniques requires care, integrity and respect for the highest intention of all individuals.

    By attending or participating in the above mentioned The useNLP seminar or training course, I acknowledge that I hereby indemnify HNZ Business Consultant against any loss or damage whatsoever and howsoever incurred by the participant as a result of my participation.

    I certify that my participation in this training is of my own free will and I accept complete responsibility for my well-being at all times. I further certify that I am a healthy individual and that I am physically and psychologically fit to fully participate in this training, and I know of no reason, nor have I been informed by my physician or psychologist or psychiatrist of any reason, why my participation in this training would do me harm of any nature. I agree to release and hold harmless The HNZ Business Consultant, their agents, representatives and employees for the results of any portion of the training in which I voluntarily participate. If this does not accurately reflect my situation, I agree that I will notify one of The HNZ Business Consultant representatives before participating in this training.

    I understand that although this training may raise emotional issues, it is not intended to provide a therapeutic environment or be a substitute for ongoing counseling or psychotherapy, and that any unresolved issues which may surface and which may warrant counseling, will be at my own expense.

    I understand that if I am found unfit (or disruptive) to participate in this training by a representative and/or staff member of The HNZ Business Consultant, I will be required to leave the training immediately. No questions or discussions will be entered into, and The HNZ Business Consultant representatives and/or staff will be the sole judge. No refunds will be given.

    I agree that any recorded or written material included as part of this training is protected by Trademark and Copyright laws and may not be used without obtaining prior written permission of the appropriate parties. As a participant, I agree to NOT record this training or any part thereof.

    If any legal action, including arbitration or an action for declaratory relief is brought to enforce this agreement, The HNZ Business Consultant will be entitled to attorney's fees, which may be set by the arbitrators or the court in the same action or in a separate action brought for that purpose, in addition to any other relief to which The HNZ Business Consultant may be entitled.

  • Clear
  • WAIVER REGARDING HEALTH ISSUES

    I the undersigned participant, hereby acknowledge and agree the that HNZ BUSINESS CONSULTANT

    (HNZ) is not responsible for my exposure to illnesses or diseases that may occur at any time while participating in training or while ina facility under the control of HNZ. I am particularly aware that due to the current COVID-19 pandemic, training activities could be hazardous in exposing myself to the virus and other infectious diseases and disorders causing extreme illness and possibly death. I am voluntarily participating in the training, and hereby assumes any and all risk of illness, injury, or death, and I accept full responsibility for to know, to understand, and to comply with the most recent guidelines published by the Centers for Disease Control and Prevention ("CDC"), as well as applicable federal, state, and local laws and directives.

    (b) The participant: (1) forever releases HNZ from all liability arising from the participant's illness, disease or injury and related claims, expenses, and causes of action; (2) covenants not to sue HNZ, and (3) agrees to defend and hold HNZ harmless from all claims, damages, and expenses related thereto, including attorneys' fees.

    (c) "HNZ" refers to The HNZ BUSINESS CONSULTANT and its officers, directors, agents, representatives, employees, advertisers, independent contractors, and advisors. "HNZ" also refers to its assigns and each successor-in-interest.

    (d) This Waiver is not limited to situations involving COVID-19 but includes all other infectious diseases and medical disorders, including those triggered by bacteria, viruses, fungi, or parasites.

  •  declare that I was given no oral representations, statements, or inducements that would contradict or modify the provisions of this paragraph 1 in any way.

    I acknowledge that I have carefully read and understood this agreement, and release:

  •  /  /
    Pick a Date
  • Clear
  • NLP Certification Information and Agreement

  • I understand that I am being considered for certification in Neuro-Linguistic

  • In order to be certified, I am providing the following information:

  • I understand and agree to the following:

    1. I will use the skills learned in this training with only the highest ethical standards.

    2. I will use the information learned in this training only as it is appropriate to my personal level of expertise, my existing profession, credentials and/or education.

    3. This course is NOT a substitute for formal education in the behavioral sciences.

    4. This course is NOT a substitute for any form of therapy.

    5. I am solely responsible for my own actions and emotions and hold harmless The HNZ Business Consultant or any of its employees or representatives of any liability for their actions and emotions.

    6. I will not use any trademarks or copyrights without the written consent of The HNZ Business Consultant and/or other appropriate parties.

    7. I understand that The HNZ Business Consultant programs are for vocational or non-vocational self-improvement, do not include or attempt to work in areas such as psycho-therapy, psychiatry, medicine, etc., which are outside their chosen specialty; and that problems of psychogenic or functional origin are only accepted and treated by psychological or medical personnel. By signing this form, I acknowledge understanding that HYPNOTHERAPYI NLP/ TIME LINE THERAPY®/ NLP COACHING/ ANCIENT HAWAIIAN HUNA and other techniques applied by The HNZ Business Consultant are a conditioning process, whereby an individual is taught to use their OWN ABILITIES for their OWN BENEFIT. I therefore understand that my results will be dependent upon my ability to communicate with my own unconscious/subconscious mind. And therefore release The HNZ Business Consultant of all liabilities resulting from these actions.

    8. I release and hold harmless The HNZ Business Consultant, its agents, representatives and/or employees from any responsibility occurring as a result of my use of any of the information and/or techniques learned in this course with myself and/or others at any point and time.

    I acknowledge that I will receive my certificate(s) by mail once I paid in full for the training.

  •  /  /
    Pick a Date
  • Clear
  • PHOTOGRAPH, AUDIO AND VIDEO RELEASE

  • understand that portions of this seminar may be photographed, and/or recorded on video or audio tape. I understand that my likeness may appear in photographs and/or my voice and/or image may appear on video/audio tapes, and I agree that no compensation will be paid to me for any products or revenues or any other value derived from these photographs and audio/video recordings. I waive all rights I may be entitled to from the use of such images or recordings. I do not ask for nor expect any compensation from any of the photographs taken or

    audio/video recordings made during this seminar.

  • Clear
  •  /  /
    Pick a Date
  • Thank you for your cooperation

  •  
  • Should be Empty:
Jotform Logo
Now create your own Jotform - It's free! Create your own Jotform