CREATIVITY COACHING / FACILITATION REGISTRATION FORM

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NAME *

First

Last

ORGANIZATION *

PHONE NUMBER *

EMAIL *

WHAT PROGRAMS OR SERVICES ARE YOU INTERESTED IN ? *

CREATIVE STRENGTHS RECOGNITION PROCESS CREATIVE STRENGTHS RECOGNITION PROCESS: MICRO SUBSCRIPTION CREATIVE STRENGTHS JOURNALING WORKSHOP DRAWING CONNECTIONS / CONNECTIONS IN FOCUS PROCESS

CONFIDENTIALTY
In my role as Creativity Coach / Facilitator I will keep confidential what is said and shared both verbally and visually.

CONFIDENTIALITY ISSUES *

YES, I HAVE READ AND UNDERSTAND THE ABOVE STATEMENT ABOUT CONFIDENTIALITY NO, I HAVE QUESTIONS ABOUT THE ABOVE STATEMENT AND WOULD LIKE TO DISCUSS THIS FURTHER.

DISCLAIMER
Although my practice as a Creativity Coach / Facilitator utilizes methods from the my studies in Therapeutic Arts and positive psychology, I am not providing psychological counselling and / or therapy services. The Creativity Coaching / Facilitation services I provide are intended to help clients recognize their creative strengths, promote personal growth and self - awareness. This service should not be seen as a substitute for psychological counselling or therapy services. For psychological counselling or therapy services you should always seek the services and advice from qualified mental health professionals.

DISCLAIMER STATEMENT *

YES, I HAVE READ AND UNDERSTAND THE ABOVE DISCLAIMER. NO, I HAVE FURTHER QUESTIONS ABOUT THE ABOVE DISCLAIMER.

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