Tapping Group Form

Restore Calm Class

Enrollment Form
Today's Date
Name*
Phone Number*
Email*
Please enter email again
Address
City, State, Zip Code
I would like to receive newsletters/communication from Bryn Lowrie Healing
How did you hear about this event?
Informed Consent for Bryn Lowrie Yahn
Emotional Freedom Techniques-Tapping (EFT) is a fast, safe, gentle modality to release emotional blocks in the body and energy field. I understand that EFT has the potential to bring unresolved or distressing emotions or memories into my awareness which may require further healing work.
Release of Liability
I agree to participate in this healing event and will take full responsibility for my own comfort, health, and well-being throughout this event. I accept all liability including legal, financial, or personal liabilities and will not hold Bryn Lowrie Yahn responsible.
Event Policies:
I understand that payment at the time of registering secures my spot for the event, and that there are no refunds.
I agree that the electronic signature below is equivalent to my actual signature. By signing below, I agree to all of the statements listed above.
Signature*

Clear
Payment
My Products
prevnext( X )
Restore Calm Class; Thursday, December 4th; Just Juice, Nisswa44.00 class; 1.71 processing fee
$45.71 Quantity

Total

$0.00

Payment Methods

Debit or Credit Card

Choose from one of the PayPal options to make your payment.

Restore Calm Class