Step 1:  Please complete the enrolment details

Name of parent/guardian completing this form(Required)
Your teen's full name(Required)
Preferred name(Required)
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Postal Address(Required)

Health & Medical

Are there any health or medical concerns I should be informed of before working with your teen?(Required)
Does your teen have any history of seizures or epilepsy? Note, this information is required to determine compatibility for hypnosis(Required)
Does your teen have any history of psychosis or psychotic episodes? Note, this information is required to determine compatibility for hypnosis(Required)

Please share a bit more about your teen

Reasons for enrolment

Parental Consent

I consent to my child participating in all of the activities of this program, including group hypnosis.(Required)

Disclaimer

Liability I hereby release Amanda Cremonini, from any liability or claims that could be made against her concerning my mental and/or physical well-being during the work that has been outlined and agreed upon (now and in the future) by filling out this form. Scope of Practice I understand that Amanda Cremonini is not a licensed physician, psychologist, or medical practitioner of any kind and that hypnotherapy should not be considered a replacement for the advice and/or services, of a psychiatrist, psychologist, psychotherapist, or doctor.
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Step 2:  Please enter payment details.

The Happiness Hangout

$299.00

Delivered over a structured 10-week face-to-face group program, this will be a fun and transformational opportunity for teens to develop self-awarenessself-perception and practical skills to take care of their emotional well-being.

You are choosing to pay upfront in full

This product is non-refundable

2 in stock