Lightning Process® Application Form


Thank you for choosing to apply to take the Phil Parker Lightning Process with Elizabeth. Please take your time to go through this form as it will help me to find out more about you and what you are hoping to achieve from taking this training. If you have any questions, please contact me at: (insert phone number) where I will be happy to talk them through with you.


Preparing for your training


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


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, will have to do the most work and be very determined. This is why we recommend that you have more of a commitment to the training and success than just ‘wanting to give it a go’. Having said that, you will not be alone on your journey, I your practitioner will be there for you before, during and after the course to help you to keep putting the Lightning Process into practice.


We have found that the very best way to help you to prepare yourself to get the most from the training is to read/listen to the book/audio book ‘An Introduction to the Lightning Process’ which is available from the office or website www.lightningprocess.com. Also take some time to read through the website, especially the feedback and stories from people who have already done the Lightning Process. If you know anyone who has done a Lightning Process course, ask them about their personal experience of the Process and contact me if you have any specific questions you would like to discuss.


1. Have you read the book/listened to the audio book/had the book read to you?



If you feel that you are ready to take the course, then please complete this form. Befare accepted on to the course I will contact you by phone to introduce myself, to ask you some questions about your understanding of the Lightning process and to answer any questions you may have. Through discussion with you, we will assess whether this training programme is right for you at this time and provide yo withany pre-course cohng required to help you prepare yourself for the training.


On completion of the course you will receive an attendance certificate.


Expectations:


  • What you can expect from me, your practitioner:
  • I will work with you with care and integrity
  • I will follow the approved ethical training structure
  • I am completely committed to you and your success

In return what I expect of 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

2. Are you willing to fully participate in the discussions, training and coaching sessions?



Personal Details






Postcode:











Occupation/Previous Occupation:


How did you hear about NexStep:


How did you hear about The Lightning Process®:


3. Personal History


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


Diagnosing Consultant/Doctor:


Date of Diagnosis:


When did your Issues/Symptoms begin:


How did they start:


How has this affected your life?:


4. Do you believe you can influence your own health?



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



It is important for me to know about your general state of health and health history both physically and mentally. To help me assess your suitability for the training programme, 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:


The reason I ask about your past medical history is not because I have medical training, but because I need to know if you need additional help and support.


Other Medical/Mental Issues:


Do you need wheelchair access to get to the venue?


6. Your Lightning Process® Training Programme


What do you hope to achieve from doing the training programme?


When you have discovered a way to being well and/or resolved your issues,
what are some things you would love to do with your life?


7. Do you know or have you spoken to anyone that has used the Lightning Process®?



8. Have you applied to take the training before?



If Yes Which practitioner did you apply to?








I may need to speak to that practitioner about your application, please confirm that you give me permission to do this



9. Would you like to be accompanied during the Lightning Process® Training?



As this is a personal journey, most people decide not to have someone with them when they attend the Lightning Process training programme. However, it is a decision for you to make as to whether you wish to bring a family member or friend with you. If you do choose this, we have found that the kinds of qualities ideal for someone who attends to support you in your learning are to be fully supportive, positive and inspiring.


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.


10. Confidentiality


The Lightning Process is a training programme, not a therapy and there is no requirement for you to share personal information with other members of the group, but some people may choose to do so. Do you agree to maintain confidentiality with regard to personal information shared by others during the training?




11. Payment Details


The training fees for taking the Lightning Process training with Elizabeth are displayed on the Fees page and includes pre training assessment calls, 3 days training plus post training support of up to approzimately 3 hours.


Fees include any pre-course coaching, the course itself and all materials, plus two 1 hour follow up calls.


Payment is required by bank transfer, cash or cheque, and is only payable once you have been accepted onto a course.


12. Training Agreement


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



“I understand that the Lightning Process® is a training programme. It’s 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 process and continuing to apply it after. I am ready and committed to do this”


“Please print your name if you would like it to represent your signature in this document.”






By ticking here you are confirming you have read and agree to the statement above and also accept the terms and conditions below.


I agree


Are you under 18 years of age?




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 or guardian to read through the form and if they also agree to the terms and conditions, for them to sign the form too.






I agree


Relationship to applicant:


Terms and Conditions


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 and may not be able to replace your space. 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 unhelpful or unhealthy for you or other members of the training group. A refund in these circumstances will be at my discretion.


Cancellation of Training


On occasion unforeseen circumstances may make it necessary for me to cancel a course and accordingly I reserve the right to do so. In such circumstances you will be given as much notice as possible and I will either refund the full course 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


All documents you receive as part of your training constitute the intellectual property of Phil Parker and are not to be reproduced, sold or distributed in anyway.


Copyright Notice


The purpose of the Process is to apply it to resolve your 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 representation) that are demonstrated or provided.


Data Protection Policy


The register of Lightning Process® Practitioners is registered with The Information Commissioners Office and all information is held in accordance with the Data Protection Act 1998.


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


  • 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
  • Ensure it can be replaced in case of loss


If you would like this option please check this box Yes


In addition to you may also like to be informed of any relevant developments in the Lightning Process® and its associated programmes. This is an optional service and your details will not be passed on to anyone else for any reason. Please check this box if you wish to receive occasional and relevant correspondence from us about this. Yes


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. Please check the box if you agree to this. Yes


Do you agree to the terms and conditions as outlined above?


I agree



Submit Application Form


To email your completed Lightning Process Application form to Elizabeth at NexStep, Press Submit Button


Thank you! for completing the Lightning Process application form, I will ring you shortly to discuss your training with you!