Please ensure you fill this
form in only if you are taking your training at the LONDON CLINIC in Crouch
End N8.
If not please visit your practitioner's
website to fill in their personalised version of this standardised form.
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Please
note: It's taking us about 2-4 weeks to process forms due to the huge number
of them and the fact that each one has to be assessed and each person talked
to by a trainer. If
you'd like to know if your form has
arrived safely please write your name
on the back of the envelope AND email
us as that's the quickest way for us to reply |
Please fill this extra box in to help speed
our up admin Name
............................ My best contact
number is:
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Notes
to help you fill in the form.
Am I ready to take the training?
Please read Phil Parkers book An Introduction to the Lightning Process which
is available from the website before completing this form; it will help you to
decide if you are ready.
Then fill in the form and
send it on to us. After we have received you will be placed in our waiting
list. When you reach the top of that list we will ring to talk to you before
you take this training seminar in order to assess if this program is right for
you right now.
The Lightning Process TM is a training program. Our experience is
that if people apply the lessons of the Lightning Process TM to
their lives they can start to change old patterns of thinking which in turn
influence their health and happiness.
With any training program the trainer can only take responsibility for training
and coaching to the best of their ability, then the
student must apply the lessons for himself or herself. If the student doesn't
apply the training, then they will naturally see very little benefit. We
recommend that you think long and hard before taking this training, does it
sound like something that appeals to you, and makes sense to you, something you
can commit yourself to?
If you feel doubtful, cynical or just want to give it a go to see what happens,
then now is probably not the right time for you, so
please be honest with yourself and this form or you will probably be wasting
your time and money.
How
the training is conducted.
Much will be demanded from
you over the three days of the seminar, but if you take on the challenge, which
your trainer will assess you for in terms of your readiness, the rewards are
extraordinary.
Your trainer has a very
demanding role during the seminars. They have to not only present the material
but also manage and assist you as you go through that very challenging process.
There are certain ground rules and understandings that will make the training
easier for you and them.
Your trainer is completely
committed to your success, as a result;
l They wont tolerate any behaviours that prevent you getting the success that you
deserve.
l They will deliver no-nonsense, honest
and essential feedback, do not mistake this as not
caring.
l They will not always say what you want
to hear.
l If what you are doing is going to cost
you your success they will tell you even if it risks you being annoyed with
them.
Thats how committed they are
to you and your success.
Your role in the training.
You will need to fill in the
training agreement which is included in the application form below.
PLEASE MAKE SURE YOU FILL
IN ALL SECTIONS
1.Agreement.
Please read these statements,
and if you agree with them please circle the AGREE word, we will not accept you
onto the training program unless all the statements are agreed to.
Our experience suggests you should only take the training if you agree to these
statements:
I understand that the Lightning Process TM is a training program.
AGREE / DISAGREE
I understand that learning the Lightning Process TM does not
guarantee me any results. AGREE / DISAGREE
I accept full responsibility for the effects of applying or not applying this
training program to my life. AGREE / DISAGREE
I recognise that the mind and body can powerfully influence each other. AGREE /
DISAGREE
I am prepared to look at and challenge my beliefs about my condition/illness,
my health and myself. AGREE / DISAGREE
I am totally prepared to do the sometimes-challenging work, of starting to
think very differently, that is required to get myself back on track. AGREE /
DISAGREE
2. Personal details and history.
Name
Name you wish to be called if
different
Address
Post code
Tel home
Tel work
Email
About you (this helps us to ensure the course is suitable for your needs, gives
a sense of who you are);
Sex M F
Date of Birth
Occupation
What you hope to get from doing the course
How would describe your problems/issues/illness- ( include
medical name/ diagnosis if relevant)
When did your issues begin?
How did they start?
What effects has this had/how
has this limited your life?
I know someone personally
who's used the Lightning process to recover their health YES/NO
3.Future.
When you have discovered a
way to get well/ resolve your issues what will you put your energies into/what
would you love to do with your life?
1
2
3
4
5
6
7
8
4. Readiness.
Overall, what score would you
give yourself out of 10 for your belief that you can recover using the Lightning
Process? _______
Please score each of the
following out of 10, where 10 means I totally agree
with this statement.
Statement one.
I want to resolve all my issues. _______
Statement two.
It is possible for me to resolve all my issues. _______
Statement three.
I am capable of learning how to resolve all my
issues. _______
Statement four.
It is appropriate for me to resolve my issues and I
am prepared to do what it takes to make those changes. _______
Statement five.
I
am willing to change negative lifestyle patterns, thought processes and
limiting beliefs. _______
Statement six.
I have the responsibility for resolving these issues
and the power to do that.
_______
Statement seven.
I deserve to and am valuable enough to resolve my
issues. _______
Statement eight.
In terms of my issues and my ability to follow
instructions, I am similar enough to all those others who have used the process
to recover that I am bound to make the same kind of changes as them. _______
I am determined to be the
next success story yes/no/maybe
5.the X factor.
Please write down a few
sentences on what you feel is needed from YOU during the lightning process to get
the changes that the others have achieved.
6.Please
select one answer.
a) If you are
presented with information do you tend to accept things as they are rather than
tending to question them?
Yes No
Other
b) If others
can get well using the process then so can I- do you agree?
Yes No
Other
c) My type of illness/issues (that I
want to use the process on) are generally easily recoverable from.
It is
definitely this way
Maybe true
for some
I dont know
Not true
d) My
specific illness/issues are easy to resolve using the process.
It is
definitely this way
Maybe true
for some
I dont know
Not true
e) My issues are different from other
peoples ones.
It is
definitely true
Maybe
I dont know
Not true
Pair the
words on the left with just one that has an opposite meaning.
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Simple |
Smooth |
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Difficult |
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Short |
Complex |
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Soft |
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Rough |
High |
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Tall |
Can you
suggest any improvements, or comments about the form.
7.Previous
and multiple applications.
Have you applied to take the
training before? YES
NO ( go to question 8)
If yes which trainer did you
apply to
. And when
What has changed for you
since applying to that trainer?
To process you application we
will need to speak to that trainer about your case, please only send in the
application form if you agree to this.
Please do not send in
multiple applications to different practitioners.
8.
Training Agreement.
Please read and if you agree
to it, sign it.
I promise that during the
training I will:
Deeply and honestly examine
my beliefs
Be available for coaching at
all times
Change anything that my
trainer identifies as destructive
Be open to feedback of the
trainer and my fellow trainees.
Recognise that I have blindspots that I dont even know I have
Signature
Date
9 Payment details;
Fees for Lightning Process seminar with Claire Brooker, Simon Pimenta, Maxine
Henk and Dave Godfrey are £750. Do not send a cheque until your trainer has
given you a course date.
Payment is by cheques or cash
only.
Please ensure you fill this
form in only if you are visiting the LONDON CLINIC in Crouch End N8.
If not please visit your practitioner's
website to fill in their personalised version of this standardised form
Conditions of payment
Once paid fees can not be refunded in the event of a
cancellation on your part, or a failure to complete the training; this is
because we run small group trainings with limited spaces; if you take up a
space and cancel, no one else will be able to fill it once the course starts.
However, if you cancel at short notice and we are able to fill your space your
fees will be refunded
We reserve the right to
terminate your training if we feel your continued participation would be
unhealthy or unhelpful for you or another member of the training group. Your
fees will not be refunded in these circumstances.
Ownership.
All documents you receive as part of your training constitute an intellectual
property and are not to be reproduced, sold or distributed in anyway.
If you agree to all of the above conditions in this document please fill in and
sign the following declaration. I
..understand and agree that once I
pay my fees they can not be refunded, that I understand the statements I have
agreed to and agree to adhere to the above conditions. (signature)
.
This
must be completed if you are under 18 years.
If you are under 18 years age
please ask your parent or guardian to read through the form and if they also
agree to the terms and conditions, for them to sign the form too
Name
Signature
. Relationship to applicant
Date
Thanks for helping us speed
up your application by filling this out.
Please send
me to: The LP Team, The
Lightning Process Seminars,170 Weston Park, London. N8
9PN
020 83419800 lp@philparker.org
If you are planning to bring someone to help you in your learning please get them to fill in the form that you can download by clicking here.