For your protection and ours,
before registering and participating in Inviting Vibrance Circles
and before receiving an optional private session from Jeanine DuBois or Alex Jones,
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 these groups and in sessions with Jeanine DuBois and Alex Jones. This is an opportunity to increase my personal awareness and choices. Therefore,
• I will only participate in activities which I deem as beneficial for me,
  
• and I will consult my health practitioners and other trusted advisors as I feel led.
  

• Information provided by Jeanine and Alex is educational and provided only as general information for my own personal use. The four statements below apply to all techniques offered.
  
• No medical or psychological diagnosis, prognosis, treatment, cure, or prevention is expressed or implied by Jeanine DuBois or Alex Jones.
• The techniques Jeanine and Alex offer are not a substitute for medical or psychological treatment.
  
• Jeanine and Alex make no warranty, guarantee, or prediction regarding any outcome from using any of these techniques for any particular issue.
  
• Jeanine and Alex accept no responsibility or liability for the use or misuse of information provided.

• The techniques Jeanine offers include the following, with specific information about each.
  
• 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 am encouraged to visit Tapas’ website <www.TATLife.com> for the latest free download of Tapas' “How to Do TAT” 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.
• 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 movements 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 learning to teach Brain Gym.
  
• Energy techniques (Jeanine's training in this area 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 techniques, my intention is always for my highest good in supporting my 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 allows for a shift in attitude and an opening to all the beauty available to us each day in our lives.
• Jeanine's experience is that often listening and talking with gratitude to our bodies creates for amazing possibilities of balance, harmony, and well-being.
  

• The techniques Alex offers include the following, with specific information about each.
• CRA / Contact Reflex Analysis (body systems scan) and Applied Kinesiology
  
• I understand that Alex may be able to assist me to recognize imbalances in my system.
  
• Neurovascular points and neurolymphatic points - our body's balancing buttons!
  
• personalized information about nutrition and herbology
  
• I understand that Alex has studied nutrition for 38 years, through OCOM (Oregon College of Oriental Medicine) and extensive personal study.
  
• flower remedy information
• I understand that Alex uses kinesiology (asking one's body through muscle checking) to find the ideal flower remedy for the situation.

• Alex and Jeanine also offer other simple activities to relax into personal awareness.
• Each is designed to help me notice and make conscious, fulfilling choices, which honor my truest wishes and enhance my overall well-being.

• In our Inviting Vibrance Circles and private sessions, anything addressed or revealed is received by Jeanine and Alex with respect and will be held in honored confidence except where safety requires otherwise. In addition, there may be times where Alex or Jeanine share about an experience in a de-identified way as a learning opportunity.

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 techniques offered 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 in 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 Alex or within the context of Inviting Vibrance Circles.

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Clicking the Agree button below sends this form to us 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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