Application Form for The Phil Parker Lightning Process^® Training with Melissa Brydon

Well done for taking this first step. Please take your time to go through this form, as it will help me find out more about you and what you hope to achieve by taking this training. If you have any questions please email.

CONTACT MELISSA

Are you ready to take the training?

The Lightning Process^® is a training program, not a treatment or a therapy so you need to be ready to learn. Our experience is that if people apply the lessons that they learn from doing this course, then they are able to make changes to achieve new levels of health and wellbeing.

The Lightning Process is all about you and your future. As it is your future, you will have the biggest role to play during the seminar. You will have to do most of the work and be very determined. This is why we recommend that you have more of a commitment than just wanting to ‘give it a go’. Having said that you will not be alone on your journey. As your practitioner, I will be there to help you keep putting the Lightning Process into practice.

If you feel doubtful, cynical or just want to give it a go to see what happens, then now is probably not the right time for you, so please be honest with yourself and with this form or you will probably be wasting your time and your money.

About the Lightning Process Course

The Lightning Process is an empowering training programme, which teaches you how you can influence your health and life, using techniques based on the way the brain and body interact. It involves specific steps using movement, posture and coaching which can be tailored to the abilities of the individual if needed.

The course takes place in small groups, over 3 consecutive days. Each day runs for around 4 hours plus breaks. This may sound daunting to people with major health issues but it has been our experience that people not only cope with this arrangement but actually improve their health and energy levels during the course.

Expectations

What you can expect from me, your trainer:

I will work with you with care and integrity
I will follow the approved ethical training structure
I will give you no-nonsense, honest and essential feedback
I am completely committed to you and your success.

In return what I expect from you:

That you are ready and committed to fully participate and engage in the training and be ready for interesting and fascinating approaches to change. That you continue to use the Lightning Process whenever you need to after the course.

Please make sure you fill in all sections. Questions with * are required.

Personal Details

First Name *

Last Name *

Address Line 1 *

Address Line 2

City *

Postcode

Country

Phone Number *

email *

Date of Birth *

Occupation

Have you listened to the Part 1 of the Lightning Process audio programme? *

Yes

Are you willing to attend and participate in the discussions, training and coaching sessions? *

Yes

Maybe

Do you agree to maintain confidentiality with regard to personal information shared by others during the training? *

Yes

Personal History

How would you describe your illness/symptoms/issues? (Include medical name/diagnosis if relevant) *

When did your symptoms/issues begin?

Date of Diagnosis

How did they start? *

How has this affected your life? *

Do you need wheelchair access to get to the venue?

Yes

Do you feel you can influence your own health?

Yes

Maybe

Do you believe you can get better/resolve your issues?

Yes

Maybe

To help me assess your suitability for the seminar please tell me if you have any medical or mental health issues that you have not yet mentioned on this form. If so, please list them

Lightning Process Preparation

What do you hope to achieve from doing the course? *

What would you love to do with your life? *

Have you applied to take the training before? *

Yes

Would you like to be accompanied at the seminar? *

Yes

Maybe

As space can be limited on some courses, please discuss availability with your practitioner during your phone call, if you would like to be accompanied. This person will need to complete a separate Learning Facilitator form.

Payment Details

The training fees for taking the Lightning Process with Melissa Brydon are $1,500 (inc GST). This includes any pre-training assessment and preparation, three half-day group seminar and course materials, 3 hours of follow-up coaching, and a graduate audio download by Phil Parker. Payment is required prior to the start of the seminar and is only payable once you have been accepted onto a course.

Training Agreement

You should only sign this application form if you agree to the terms and conditions and to the following statement:

“I understand that the Lightning Process is a training programme. Its purpose is to train me in the tools of the Process, and I realise that simply attending will not guarantee me any results. I recognise the changes I want can best be obtained by fully participating and engaging in the seminars and continuing to apply it after. I am ready and committed to do this.”

I have read the Terms & Conditions below and I agree with the statement above

Signature *

Date *

Emergency Contact

So that we can contact someone close to you in the case of an emergency please provide:

Emergency Contact First Name *

Emergency Contact Last Name *

Emergency Contact Phone Number *

The following must be completed if you are under 18 years of age:

If you are under 18 years of age please ask your parent/guardian to read through the form and if they also agree to the Terms & Conditions, for them to sign the form too.

Parent/Guardian First Name

Parent/Guardian Last Name

Relationship to Applicant

Parent/Guardian Signature

Date

Terms & Conditions

Online Seminars

By completing this form, you are agreeing that you are happy to use a third-party software package (Zoom) to participate.

Confidentiality

The Lightning Process is a training programme and while there is no requirement for you to share personal information with other members of the group, some people may choose to do so; because of this, we will require your agreement to maintain confidentiality with regard to personal information shared by others during the training.

Conditions of Payment

Once paid, you have seven days to cancel your booking and receive a full refund if training has not commenced. After this, fees cannot be refunded in the event of a cancellation on your part, or a failure to complete the training. This is because I run small group trainings with limited spaces; if you take up a space and cancel, no one else will be able to fill it once the course starts. However, if you cancel at short notice and we are able to fill your space your fees will be refunded.

I reserve the right to terminate your training if I feel your continued participation would be unhealthy or unhelpful for you or another member of the training group. Your fees will not be refunded in these circumstances.

Cancellation of Seminars

On occasion, unforeseen circumstances may make it necessary for me to cancel a seminar and accordingly we reserve the right to cancel seminars where appropriate. In such circumstances, you will be given as much notice as possible and I will either refund the full seminar fee or, if you request, move the training to an alternative date. Liability for any losses other than the seminar costs will not be accepted.

Ownership

In completing this form, you are agreeing to protect the copyright and Intellectual Property of the materials provided by the Lightning Process Practitioner. All documents you receive as part of your training constitute intellectual property and are not to be reproduced, lent, sold or by any other method disseminated to any other person or entity without the express written permission of Lightning Process Ltd. Such restriction applies equally to the entire contents of the materials or any part of them.

You are also agreeing not to record or take photos during the seminar. Such restriction applies equally to the entire contents of the seminar or any part of them.

The purpose of the Process is to apply it to resolve your personal issue(s). Participation in the Process does not amount in any way to permission to reproduce or train others in any of the techniques or materials (including graphical images, text, audio or visual presentation) that are demonstrated or provided.

Data Protection Policy

The Head Office for the Register of Lightning Process Practitioners is registered with the Information Commissioners Office (ICO) and all information is held in accordance with the General Data Protection Regulations 2016/679 (GDPR) and Data Protection Act 1998. Please refer to the Lightning Process Head Office Privacy Policy here: https://lightningprocess.com/privacy-policy

Keeping in Touch

You can decide to have your attendance certificate logged, together with your name, certificate number and email address with the Lightning Process Head Office. This will:

Ensure that it can be replaced in case of loss
Help us with our research and statistics
Help us to check that you have received the high standard of care we expect from members of our register

I would like my attendance certificate logged

In addition to the logging of your details for the purposes outlined above, we would also like to occasionally inform you of relevant developments in the Lightning Process^®and its associated programmes. This is an optional service. Your details will never be passed on to anyone else for any reason.

I wish to receive occasional and relevant correspondence from us about this

In order to conduct further research into the Lightning Process we would like to contact you at regular intervals to monitor your progress. We will not use any details by which you may be identified in any statistics that we produce.

I agree to this further research

Thank you for filling in this form, I’ll be contacting you shortly to discuss your training with you. I will confirm I have received your application by email.

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Application Form for The Phil Parker Lightning Process® Training with Melissa Brydon

Application Form for The Phil Parker Lightning Process^® Training with Melissa Brydon