Workshop Registrations

Participant Release Form - Please place your pointer over the "?" to the right and read the information. *

YES. I agree with the terms of the participant release

Family Constellations Workshop Participant Release ---- I understand that this Family Constellations workshop may bring up issues of a highly personal nature which may cause me to experience some unexpected and/or difficult emotional and/or physical responses. Further, I understand that I may experience some emotional, physical or spiritual distress that may also cause unpleasant symptoms. I agree to assume the responsibility and risk for any such manifestations encountered on my part in this workshop or future workshops.---- I do not currently suffer from any major mental or physical impairment and have not been diagnosed in the past with any disorder, condition, or injury, either physical or mental, that would make it inadvisable for me to assume such risks. I am not currently in a crisis or suffering from acute trauma or distress.---- I acknowledge that this workshop or future workshops are not designed as a substitute for therapy with a psychiatrist, psychotherapist, or other mental health professional, or as a substitute for any other professional consultation. I understand that Family Constellations Facilitators do not diagnose illness, disease, or mental disorders. I understand that Family Constellations are designed as an educational or spiritual experience only. I understand that no guarantees have been made to me as to the effects or benefits of such services. I further affirm I am over the age of 18 years and no approval by a legal guardian is necessary for my participation. ---- All the information shared in this workshop or future workshops by participants will be considered confidential information, unless the subject of that information clearly states otherwise. I agree that I will not disclose any of this confidential information to anyone who was not a participant of this workshop or training or future workshops or trainings that I attend. ---- I willingly agree to hold harmless, and release from all liability the facilitator of this work, Barry Krost, and Healing Body Therapeutics PLLC. I consent to participate in this Family Constellations workshop(s).

The information provided on this website is designed to support, not replace, the relationship that exists between a patient/site visitor and his/her physician. Always consult with your physician, psychiatrist, psychotherapist or other qualified healthcare provider before starting any health program.

Any benefits or claims are based on our personal experience with clients. Family Constellations and Transformational Life Coaching are not psychotherapy. They are intended for educational and informative purposes only. Your participation is entirely at your own risk. They are not intended for someone in an active crisis.

Ortho-Bionomy® is the registered trademark of the Society of Ortho-Bionomy International, Inc. and is used with permission.

Family Constellations Workshop Registration

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Copyright © 2022 • Barry Krost-Healing Body Therapeutics, PLLC • Chicago, Illinois • Last updated 10/2/2022