Exploring Consciousness Workshop Registration

TMI Outreach

Exploring Consciousness Workshop
Release and Registration Form

Please note: all fields are required

Please read and check the box below: The Outreach Exploring Consciousness Workshop remains an evolving training program of The Monroe Institute. The Outreach Trainer(s) retains the right to determine if I may or may not continue with the sessions and Program. lf he or she deems me unsuited for continuation in a session or in the whole program, he or she will return the balance of my fee on a pro-rated basis.

In consideration of the mutual benefits which are expected to arise out of the activities in which I intend to engage which are designed by The Monroe Institute, and especially the educational and other benefits which I expect to derive, I release the Outreach Trainer(s), KeyQuest LLC, The Monroe Institute and all related persons from all claims and demands which I have, or may have, against them by reason of any injury of any nature which I might suffer as a result of such activities. I declare that I enter into these activities voluntarily in an effort to increase my knowledge of the subjects under investigation.

I am providing my mailing address because I want to receive discounts and program offers for future TMI programs, and I ask that my Outreach Trainer forward this information to the Monroe Institute. By providing this information, I understand that my data will only be used to inform me about upcoming offers and for internal data analysis. The Monroe Institute will never forward or sell your information to any third party.

  I have read, understand, and agree to the above.

  I am over the age of 18. (If not, please contact us and do not register online.)

Leave this empty:

PARTICIPANT INFORMATION

PLEASE NOTE: TMI Outreach Trainers are required to submit the above information to TMI for each workshop graduate.

IMPORTANT INFORMATION

Please read the following two sections and check the corresponding boxes. You can sign at the workshop.

CANCELLATION POLICY

1. If a registrant cancels more than 3 weeks before the start date of the workshop, the full tuition (minus $10) is refunded.

2. If a registrant cancels less than 3 weeks before the start date of the workshop, the full tuition (minus $45) is refunded.

3. If a workshop is canceled, the full tuition is refunded.

4. If a participant leaves before the end of a workshop, the balance of the tuition is refunded on a pro-rated basis.

5. If a registrant is a no-show for a workshop, 50% of the full tuition amount is refunded.

  I have read, understand, and agree to the above.

HEMI-SYNC® TECHNOLOGY

Hemi-Sync® is a safe and effective technology which has been refined during decades of scientific and clinical research. However, if I have not used Hemi-Sync® before, I will listen to the Gateway Voyage Introductory Exercise (after reading How to Listen) on the TMI website (Resources > Media Resources > Free Audio) as soon as I can after registering and before participating in the Exploring Consciousness Workshop. I understand that I will need to set up an account on the TMI website by providing my email address and creating a username and password. If I have any questions or concerns before or after listening to the exercise, I will contact KeyQuest.

If I have epilepsy or have a tendency towards seizures, auditory disorders, or adverse mental condition(s), I will disclose this in Question #4 below. I understand that I should not listen to Hemi-Sync® without having first consulted with my physician. I understand further that I may be required to provide KeyQuest LLC with a signed and dated statement from my physician in order to be able to participate in the Exploring Consciousness Workshop. If I, my physician, or KeyQuest LLC deem that I am unsuited for participation in the workshop, my tuition will be refunded in its entirety, including the deposit.

PLEASE ANSWER THE FOLLOWING QUESTIONS:

You will be taken to the Payment Page next. You will receive an email confirmation of your registration, including the information you have provided above.