For your protection and mine,
before registering and participating in TAT for Shining Our Light
and before receiving any private session (these are not part of this event) from Jeanine DuBois,
please read the following.
Once you have read and understood this Information and Release and asked any questions that you may have,
if you agree, please indicate below.


I understand and agree that

• I have fulfilled the prerequisite for this teleseminar:
• read founder Tapas Fleming's free How to Do TAT booklet <www.tatlife.com/booklet>, also translated into other languages <http://store.tatlife.com/other-languages>. Since TAT continues to evolve, I am encouraged to check Tapas’ website <www.TATLife.com> for the latest free download.

• Information provided by Jeanine DuBois is educational and provided only as general information. I will be introduced to a modality created and developed by Tapas Fleming called Tapas Acupressure Technique^® or TAT^®, which originated in 1993. 
• Because TAT is a relatively new healing approach and the extent of its effectiveness, as well as its risks and benefits are not fully researched, I agree to assume and accept full responsibility for any and all risks associated with doing TAT.
• In doing TAT, other emotional and physical sensations or additional unresolved memories may surface or continue to surface, indicating other issues may need to be addressed.
• Previously vivid or traumatic memories may fade. This could adversely impact the ability to provide detailed legal testimony regarding a traumatic incident.
• No medical or psychological diagnosis, prognosis, treatment, cure, or prevention is expressed or implied by TAT or by Jeanine DuBois. TAT is not a substitute for medical or psychological treatment.
• Jeanine makes no warranty, guarantee, or prediction regarding any outcome from using any of these techniques for any particular issue.
• Jeanine accepts no responsibility or liability for the use or misuse of TAT information provided.
• I understand that if I want to share TAT with friends or family, I can direct them to the TATLife^® website <www.TATLife.com> for the free download on How To Do TAT or to a certified TAT Professional, listed on the TATLife site. Professional use of TAT is limited to certified TAT Professionals.
• In group and private TAT sessions, anything addressed or revealed is received by Jeanine with respect and will be held in honored confidence except where safety requires otherwise. In addition, there may be times where Jeanine shares an experience in a de-identified way as a learning opportunity.
• TAT for Shining Our Light is being recorded. Adding my voice is implied consent that I agree to Jeanine's making this audio  available to all current participants and anyone else who participates via the recording. I will limit my sharing to that which I feel comfortable having others hear.

If any court of law rules that any part of this Disclaimer is invalid, the Disclaimer stands as if those parts were struck out.

By completing the form below and clicking Agree, I acknowledge and agree to

• all statements herein
• my choice to utilize TAT of my own free will
• my right to cease using this approach at any time
• I am in total charge of my experience with TAT. I agree to take full responsibility for my self-care in the physical, mental, emotional, and spiritual dimensions of my life and to seek professional advice as appropriate before implementing any protocol or opinion from this instruction, including TAT.

Information and Release for:	Release Stress & TAT for Shining Our Light
*Information and Release for:	enter in text box: TAT Shining Light I&R
*Session Participant's full name and today's date:
*Email address:
Street Address:
*City, State, Zip Code, Country:
*Phone:
Clicking the Agree button below indicates you agree to all statements in this TAT Information & Release ~ Disclaimer. Feel free to include a message to the right.

* indicates required field