Instructions:

1. Please print this page by clicking on the 'Printable Version' button below.
2. Fill in ALL the blanks and sign the Form
3. If you have registered for a Class, please bring the Form to the Class
4. If you have booked and Individual Session in Person, please bring it with you
5. If you have booked a Phone Session, please fax your form at least 48 HOURS PRIOR to your session to 403.240.9043
6. If you have a free guest pass, please send this form AT LEAST 2 WEEKS PRIOR to the start of event by scanning your filled in form and sending it by email, or by fax, or by regular mail to EFT for Life, 2214 -246 Stewart Green SW, Calgary, Alberta, T3H3C8. Thank you!

EFT (Emotional Freedom Techniques) provides impressive results for most people, but there is no guarantee. These techniques may not be successful in all cases, and may cause occasionally some emotional discomfort in certain individuals.
 
While EFT has produced remarkable clinical results, it must still be considered to be in the experimental stage and you are required to take complete responsibility for your own emotional, physical, and mental health and well being, both during and after working with EFT. 

Further, Jeanine Crombé, B Ed is not a licensed health professional, but offers EFT as an EFT Expert, EFT Trainer, EFT Mentor, a Personal Performance & Life Coach, and an Emotional Intelligence(EQ) Consultant. 

You are encouraged to consult your physician and/or therapist regarding your use of EFT.
 
I, ___________________________________  agree to hold Jeanine Crombé and Crombé J Life Coaching Inc. and business associates harmless from any claims regarding the use of EFT

I HAVE READ AND AGREE TO THE ABOVE:

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