Online Event Agreement Form

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REQUIREMENTS AND CONDITIONS OF ATTENDANCE

Email *

Working with IOPT therapeutic work online requires various considerations in order to guarantee an environment that is safe, respectful and contained. Prior to your attendance at any of these Working Sessions days you must complete this simple form.

Name *

Mobile Number *

Country *

I confirm that I am over 21 years old *

YES

Required

Have you attended an 'Intention Method' Event before? *

Yes

I confirm that I will not record any of these events that I attend. Please not that anyone found recording any event will be barred from attending any future events with Vivian. *

I agree

Required

I confirm that I will not have anyone else in the room with me, nor will I share my computer with anyone else during any of these events that I attend. *

I agree

Required

I understand that being part of one of these events may involve intense emotional experiences and I accept full responsibility for my participation and any consequences it may have for me. *

I agree

Required

I confirm that I have adequate support in my life to enable me to process anything that may come up for me during one of these events, for example personal therapy, supervision, supportive friends, and so on. *

I agree

Required

I understand that should I feel the need I can follow up my experience with email contact with Vivian. *

I agree

Required

I understand that by completing this form I am making these commitments for any online event that I attend with Vivian Broughton *

I agree

Required

A copy of your responses will be emailed to the address you provided.

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