Name *

First Name

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Business Address (if you have one)

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I agree *

You must show your agreement by checking each statement.

I have read all required materials.

I will abide by the Blissborn philosophy in my teaching of Blissborn classes.

I take full responsibility for my words and actions, my classes and my success.

I will not promote non-hypnosis services or products in my Blissborn classes.

I will respect the Blissborn copyright and inform Blissborn if I know of anyone making illegal copies of Blissborn materials.

I will refer all medical and psychological questions to healthcare providers without exception.

I agree to defend and hold harmless Blissborn and its associated companies, developers, employees and venues for any indirect or consequential losses.

I will continue to learn about childbirth and hypnosis to better serve my community.

I acknowledge that my recertification will be due every one, two, or three years, depending on which certification I chose, with continuing education requirements (to be determined).