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Which Course do you wish to book?*
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We need some information from you that will be held in the strictest confidence (in accordance with the Data Protection Act 1974/1998 amendments - excluding the police or legal body). It is important that you read, fill in, sign and return this to us; it is a prerequisite of being accepted on the course. Thank you.

 

Are you in good physical health Yes No
Do you suffer from or have you ever suffered from the following?
Asthma or Bronchitis Yes No
Clinical Depression Yes No
Epilepsy Yes No
Heart Condition Yes No
Are you taking any medication? Yes No
If so please give details
Have you ever been under a doctors care for a psychiatric condition? Yes No
Do you suffer from any physical disability or psychological condition that could prevent full participation in an active study programme Yes No
If yes please give details
     

Declaration

I understand that the training I receive is for educational purposes only and that it is not a substitute for proper medical or psychological treatment. If I suspect or know that I am suffering from any physical or psychological ailment or condition, then I will seek appropriate medical or psychological treatment before attending the training.

 

I understand that this training does not represent a qualification in hypnosis, hypnotherapy or stage hypnosis and I will not claim or imply that I have been certified in any of these areas by The Birmingham NLP Training Academy.

 

I understand that no personal tape recording will be permitted during the training.

 

I have read, understood and agree with all the term and conditions.

 

I have read the application and declaration and truthfully complete all relevant portions.

 

I have read and agree with the above declaration and the terms and conditions

 If you agree please type I AGREE in the box below

How do you intend to pay?
 
 
Any Special Requests

Payment options,

To pay online via paypal please click the relevant button on the next page and follow the instructions.


To pay by cheque, please print this page and send it, along with a cheque
made payable to The Birmingham NLP Training Academy, to the address below

 

If you want us to invoice your company please print this page and send it, along with a relevant purchase order, to the address below

 

To discuss alternative payment options please contact us on 07711 204013 or email info@nlpbirmingham.co.uk

 

The Birmingham NLP Training Academy

14 Cornhampton Close

Redditch

Worcestershire

B97 6SL

 

We will contact you within 7 days of receipt of this form to confirm your booking, full payment must be made at time of booking, if you have any questions please do not hesitate to contact us on 07711 204013 or info@nlpbirmingham.co.uk .

 

By clicking either the send mail or print document button you are confirming that you agree to all our terms and conditions as set out below

 

 

Terms and Conditions

 

Please read the following terms and conditions carefully before returning the confirmation and booking form. Once a completed confirmation form has been accepted by The Birmingham NLP Training Academy the person named on the form (‘the client’) will have entered into a binding contract on the basis of these terms and conditions. If you have any queries regarding these terms and conditions, please contact us immediately.

1. AGREEMENT

Agreement is on the basis of these terms and conditions and are dependant upon the fulfilment of the following: receipt by The Birmingham NLP Training Academy of a correctly completed confirmation and consent form accompanied by the specified remittance and clearance of the remittance by The Birmingham NLP Training Academy bank account.

The Birmingham NLP Training Academy reserve the right, without the need to give reason, to refuse to accept a confirmation. In such circumstances no agreement exists and The Birmingham NLP Training Academy will return any payment accompanying the confirmation form along with any deposit already made. The agreement is between The Birmingham NLP Training Academy and the client and is the sole agreement between these parties. No variation of these terms and conditions shall be applicable unless agreed in writing by The Birmingham NLP Training Academy before the relevant course. The agreement is governed by English Law.

2. PAYMENT

The remittance of the fee as specified on the confirmation form must be paid in full by the date specified on the confirmation form, or if no date is specified, no later than three weeks before the course. If not so paid, The Birmingham NLP Training Academy reserve the right to treat the agreement as cancelled by the client pursuant to clause 4 below.

3. PRICES

Whilst every effort is made to limit prices to those given in the Booking form, The Birmingham NLP Training Academy reserve the right to alter prices should its costs in hosting the courses increase because of reasons beyond its control. In the event of a price increase the client will be notified as soon as is reasonably possible and the balance of the altered price will be payable on the same terms as the original price. In the event of a price being increased by 20% or more the client may opt to cancel the booking and will then be entitled to all monies being refunded by The Birmingham NLP Training Academy.

4. CANCELLATION

If the booking is cancelled by the client the following cancellation charges will arise:

·          Cancellation within one week of booking the course and paying the required deposit, no fee will arise and the deposit will be returned.

·          Cancellation more than 3 weeks before the course commencement means that the deposit is forfeited.

·          Cancellation less than three weeks before commencement of the course, 100% of the fee payable.

The Birmingham NLP Training Academy may cancel any course at any time prior to the commencement of the course, without the need to give reason, and in such an event all monies received from the client will be returned in full. This will represent The Birmingham NLP Training Academy full limit of liability.

5. ALTERATIONS IN COURSE CONTENT

Whilst every reasonable effort is made to ensure that the trainers conform to the course content The Birmingham NLP Training Academy reserve the right to adapt or alter the course structure should the need arise, without liability to themselves.

6. CONDUCT OF THE COURSE

The Client(s) acknowledges that during a training course he/she is required to submit to reasonable instructions and leadership of The Birmingham NLP Training Academy trainers and that persons attending the training courses are entitled to a high standard of conduct and regard for personal well being on the part of all clients. For this reason the client acknowledges that there may be circumstances in which, for the reasons of group safety and without the need to give reason, a client may be asked to leave the course, if necessary against their will. Circumstances in which this might occur are instances of abusive or disorderly conduct; intoxication.

7. LIABILITY

The Birmingham NLP Training Academy make every effort to minimise risks to clients and ensure the clients training will minimise these risks. Consequently the client acknowledges that such risks exist and that there may be circumstances in which an accident could occur and that the client takes responsibility for such accidents. However should it be shown that the accident has occurred due to the negligence of The Birmingham NLP Training Academy trainers, then The Birmingham NLP Training Academy accept liability for the accident. The client also acknowledges that other loss, damage and expense howsoever arising is not the responsibility of The Birmingham NLP Training Academy and that The Birmingham NLP Training Academy liability is hereby limited.

The Client further acknowledges that The Birmingham NLP Training Academy, having negotiated Liability Insurance for all of its activities, expects it’s clients to rely, where appropriate, on that insurance cover to mitigate any losses accordingly.

8. COMPLAINTS

In the unlikely event that a client has cause for complaint about a training course, such complaint should be addressed to the course trainer on the day in order that corrective action can be taken at that time. However should a problem not be resolved complaint should be made in writing within 28 days from the close of the event attended. To the extent permitted by Law The Birmingham NLP Training Academy will not be liable with respect of claims first initiated later than the 28 days from the close of the relevant course.

 

 

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