Bar and Beyond Enrollment Form

I'm so glad you're here! 

 

I want to acknowledge your commitment to your mental and emotional well-being and to showing up in your future career as the very best version of yourself. By signing this form, you acknowledge your agreement to the following terms:

 

1. Sessions will start promptly at their scheduled time; if you need to reschedule, please do so at least 24 hours in advance. No-show/no-call sessions will be forfeited. 

 

2. The program includes a total of ten (10) individual sessions and ten (10) group sessions. Group sessions will be scheduled based on general availability and time zones of participants and may be subject to change. Recordings of group sessions will be made available to registered group participants. By signing this agreement, you agree to this recording and agree to keep all group session recordings confidential to protect the privacy of group members. Depending on the ultimate number of program participants, I reserve the right to offer individual sessions in lieu of group sessions at no additional charge. 

 

3. Group sessions are a safe place for program participants to support each other. Respectful, courteous and professional behavior is expected at all times in group and individual sessions; abusive, demeaning or disrespectful behavior will not be tolerated and will result in removal from the program. Likewise, all information shared in group sessions by other program participants must be kept confidential. 

 

4. All information shared in individual sessions will be kept 100% confidential. 

 

5. Sessions included within the Bar and Beyond program are non-transferable and may only be utilized by the registered program participant. If you decide to cancel for any reason, partial refunds may be issued within 60 days of the program start date; after 60 days, payment is non-refundable. 

 

Disclaimer

I utilize a technique called Emotional Freedom Techniques (EFT) or "tapping", which should not be considered a substitute for psychiatric care or psychotherapy. I am not a licensed therapist; while EFT tapping is safe and effective, all clients are encouraged to consult their physician or a licensed mental health professional prior to beginning any type of alternative modality or coaching program. The information provided in my sessions is not intended or implied to be a substitute for professional medical diagnosis or treatment. Results may vary depending on individual factors and no particular outcome or result is guaranteed. All participants agree to take full responsibility for their own actions, choices and well-being throughout the duration of the Bar and Beyond program. 

 

The undersigned client understands that Tracy Inscore (dba Tap Out Burnout) makes no claims to diagnose, treat, prevent, mitigate, or cure diseases and that no information granted during the course of a session is to be construed as medical, financial or legal advice. Except in the case of gross negligence or malpractice, the undersigned or their representative(s) agrees to fully release and hold harmless Tracy Inscore (dba Tap Out Burnout) from and against any and all claims or liability of whatsoever kind or nature arising out of or in connection with the sessions offered.