For yours and my clarity, wisdom, and well-being,
before participating in group and / or private sessions with 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 am in complete charge of my experience in any group or individual sessions with Jeanine DuBois. This is an opportunity to increase my personal awareness and choices. Therefore,
• I will only participate in activities which I deem as wise choices and potentially beneficial for me,
  
• and I will consult my health practitioners and other trusted advisers as I feel led.
  

• Information provided by Jeanine is based on experience and / or training, meant to be educational and provided only as general information for my own personal use. The five statements below apply to all that Jeanine offers.
  
• No medical, psychological, or veterinary diagnosis, prognosis, treatment, cure, or prevention is expressed or implied by Jeanine DuBois.
• The techniques Jeanine offers are not a substitute for medical, psychological, or veterinary 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 information provided.
• I / We don't have any way of knowing what each person's path is, what their experience or timing may be as a result of this work, so we maintain presence, curiosity, and awareness as to shifts in our experience, noticing how life unfolds.
  

• The techniques Jeanine offers include the following.
  
• TAT^®,  Tapas Acupressure Technique^®, a modality created and developed by Tapas Fleming which originated in 1993. (Jeanine is a certified TAT Trainer and Professional.)
  
• Since TAT continues to evolve, I will visit Tapas’ website <www.TATLife.com> and read the latest free download of Tapas' “How to Do TAT for a Stressful Event” booklet prior to my first TAT experience. <www.tatlife.com/booklet>
  
• 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.
• Through TAT, we may release identification with our concern, leading to a shift in perception more in alignment with the blueprint of our true selves and less with the overlay of distress.
• I understand that if I want to share TAT with friends and family, I can direct them to the TATLife^® website <www.TATLife.com> for the free download on How To Do TAT for a Stressful Event or to a certified TAT Professional, listed on the TATLife site. Professional use of TAT is limited to certified TAT Professionals.
• Brain Gym^® is a form of educational kinesiology which incorporates simple, integrative activities and a process to support identified personal goals. "Movement with intention leads to optimal learning." <www.braingym.org> Brain Gym's history is explained at <www.braingym.org/history>. (Jeanine is a licensed Brain Gym Instructor and Consultant.)
• Brain Gym is an educational experience, which helps me understand and integrate my own learning process and release any blocks to learning or any behaviors which may have prevented me from achieving my goals in the past.
• Any mental, emotional, or physical change I may experience through Brain Gym is a result of my own ability to learn and grow.
• I understand that the <www.braingym.org> website has a listing of Brain Gym instructors and classes if I am interested in experiencing additional Brain Gym and / or learning to teach Brain Gym.
  
• Energy methods, which may include neurovascular points and neurolymphatic points (Jeanine's training is described at <http://www.compassions-doorway.com/about_Jeanine_educa_details.html>)
  
• These techniques may assist me in balancing and harmonizing the flow of energy in and around my system.
• As with all of these methods, the intention is always for the highest good in supporting natural energy flow.
  
• Gratitude and listening and talking to my body (first developed by Jeanine in 2005 through experience and observation)
  
• The joy and uplift of gratitude in itself may allow for a shift in attitude and an opening to harmony available to each of us in our daily lives.
• Jeanine's experience is that often listening and talking with respect and gratitude to our bodies creates for amazing possibilities of internal communication, balance, harmony, and well-being.
• Inspirational stories, images, and other resources.
• These may open us to a greater sense of possibility, hope, and joy.
  
• Each individual has a right to interpret others' experience, for their own reflection, in a way which honors their own beliefs and comfort level.
  
• Various methods for resting into Presence (also referred to as Stillness or being in the Now).
  
• Presence is often both a key to the method, as well as a result of it.
• Through Presence, we are more likely to allow our true selves to surface and potentially to be set free of overlays of stress.
• Simple approaches to relax into personal awareness.
• Each is designed to help us recognize our own experience, and when appropriate, make conscious, wise, fulfilling choices, which honor our truest wishes and enhance our overall well-being.
• Boomerang Blessings
• A powerful and sweet method using intention and creation to bring blossoming blessings to the individual and all those welcoming this choice.
  
  

• In group and private sessions, anything addressed or revealed is received by Jeanine with respect and is held in honored confidence except where safety requires otherwise. In addition, there may be times where Jeanine may share about an experience in a de-identified way as a learning opportunity.
• Group members honor the privacy of others in the group.
• Jeanine's group teleconferences and webinars may be recorded. Adding my voice is implied consent that I agree to Jeanine's making this recording available to other participants, including those who cannot participate at the time of the call. I will limit my sharing to whatever feels comfortable to me. I understand there may be opportunities where the recording is paused and I can share off the recording.
  

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 any of these methods of my own free will
• my right to cease using any approach offered at any time
• I agree to take full responsibility for my self-care, including the physical, mental, emotional, and spiritual dimensions of my life and to seek professional advice as appropriate before implementing any protocol or opinion shared by Jeanine or within the group.

Information and Release for:	Multiple Approaches
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Clicking the Agree button below sends this form to Jeanine and sends you to the registration page. If you are a new client, please speak with Jeanine first. Feel free to include a message to the right.

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