Sleep Contract

Contract with By The Sea Hypnosis LLC.
Stephanie DeWayne C.Ht.
I Full Name agree to the terms of payment.
I ACKNOWLEDGE THAT THERE ARE NO REFUNDS.
Please initial
PLEASE INITIAL ALL STATEMENTS BELOW
I recognize that my health and well-being depends directly on how well I care for myself emotionally, physically, spiritually & intellectually.

I agree, initials below
Acknowledge that my feelings, thoughts, images and desires conscious and subconscious, ultimately the course of every action and relationship in my life.

I agree, initials below
Realize that blaming anything or anyone, including myself is totally useless and that the only person that charge of my life is me.

I agree, initials below
Accept responsibility for choices, my actions, and myself and that I knowingly create them.

I agree, initials below
Agree to be on time for my appointments, meet my financial obligations promptly (including and session without a 24 hr. notice), and participate wholeheartedly in the work I am undertaking.

I agree, initials below
I know my heartfelt commitment is an important first step in my work here, and my signature below that commitment. If in all good conscience, however I cannot align myself fully with each statement I have initialed each acceptable item rather than singing at this time and agree to discuss in detail any I may have.

I agree, initials below
I agree to the terms of NO REFUND.

I agree, initials below
Client to initial all statements above and sign below
Client Signature: Or Parent Signature if under 18 yrs old
Date

MonthDayYear
Date
Should be Empty:

PLEASE INITIAL ALL STATEMENTS BELOW

Client to initial all statements above and sign below