Communication *

I understand that Vibrance may e-mail me regarding important notifications and announcements. I need to add contact@vibrancecentre.com to my contacts to ensure I receive e-mails.

Yes

Space *

If I am attending online, a safe and uninterrupted space where my upper body is visible will support my work. I understand that sessions can be adapted and I can communicate my access needs.

Yes

Safety *

I acknowledge that I am responsible for my own physical, emotional, and psychological safety. I can request a pause or adjustment be made at any time and will communicate my needs and boundaries. I release Vibrance and its teachers against all costs incurred, expenses and all liabilities whatsoever that may arise as a result of my actions during sessions.

Yes

Adverse Experiences *

While unlikely in the OI positive reinforcement ethos, it is possible that these sessions could evoke unpleasant feelings (or other unpleasant sensations, thoughts, or experiences), ‘memories’, or that I could otherwise have what I might consider a negative experience. I understand that I am welcome to consult a licensed health care or mental health care professional if symptoms arise in any way that I find distracting or persistently unpleasant. I understand I can contact OI directly if I have any concerns or issues at: Amber@OrganicIntelligence.org.

Yes

Payment *

I consent to pay for a session prior to its commencement. Venmo (@vibrancecentre), CashApp: $VibranceCentre, and Zelle: contact@vibrancecentre.com is preferred. Additional payment options are cash, PayPal (to www.PayPal.Me/VibranceCentre) or Square. I understand that some of these methods will include transaction fees. I understand that delayed payment incur late fees.

Yes

Cancellations *

I understand that Vibrance has a 24-hour cancellation policy. I will be charged if I cancel less than 24 hours prior to a session or do not show.

Yes

I confirm that I have read and agree to the terms above *

Yes

Name *

First Name

Last Name

Today's Date *

MM

DD

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