Heal Your Life Training® Registration Form

REGISTRATION FORM
VICTORIA JOHNSON, is the national trainer as designated by Heart Inspired Presentations, authorized by Hay House, and is leading this transformational training. As well as being your teacher and coach trainer, Victoria is certified as a business facilitator for Managing with Heart and Mind, Heal Your Life® Teen EmPOWERment trainer, and is a certified Personality Dimensions® facilitator.  She holds a Ph.D. and specializes in Cognitive Behavioral Therapy/Addictions and Clinical Hypnotherapy.

This registration form is strictly confidential and is meant to give Victoria and her team background information that is helpful during the training event.

If you have not yet submitted your deposit, payment can be made through www.thetraining.ca/register or by contacting Victoria Johnson directly: healyourlifecoach@gmail.com or 1.780.228.1238

** Cancellation Policy: Please submit any cancellation requests in writing. If you cancel more than 45 days before the training begins, all but $800 will be refunded. If you cancel less than 45 days prior to the event, no refunds are possible unless someone is available to take your place in the program. If someone is available, all will be refunded except for the deposit. If the event needs to be rescheduled due to unforeseeable circumstances (this has never happened), a credit will be issued to the student to choose from for the next two trainings offered by Victoria Johnson Coaching and Training Academy.
 
Welcome to this life-changing training. We look forward to supporting you and are sending love and positive energy to you. We look forward to working with you prior to the in-person training and seeing you in our opening circle. Life loves you.
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Email *
Name as it will appear on your certificates: *
Preferred name: *
Your mailing address including city, province or state and postal code or zipcode: *
Email address: *
Emergency contact name and phone number: *
How did you hear about this training? *
I will be creating a Whatsapp group as a way for us all to communicate and support each other.  What is your phone number?  Do you give consent for me to share your phone number with the other members of your group? Please include your phone number.  *
Briefly describe your experience with the work of Louise Hay. How has it helped you personally? *
What type of personal growth work have you done previously?  For example, conferences, books, affirmations, journalling, meditation, and/or cultural practices. *
Are you certified or licensed in some type of individual work? For example, Hypnotherapy, Coaching, Counseling) *This is not a requirement, but having an established practice of some kind can help you market your Heal Your Life workshops and coaching. *
What are your strengths? For example, intuitive, compassionate, creative, experience leading groups, empathetic, good communication skills. *
How would you like to grow personally? *
List 8 words that describe your childhood: *
What is your life like right now? *
Do you have any food allergies or health conditions we need to be aware of? *
Do you have any dietary restrictions? Please note that your dietary restrictions must be indicated here/prior and can't be changed once you arrive at the training retreat due to food ordering and menu preparation. *
Do you have any mobility or physical restrictions that require special attention?  If yes, please let us know how we can support you. If you require ground floor due to mobility, please note it here. (There is an elevator.)
The conference room is on the main floor and the and restaurant is on the second floor.
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