TRE® Introductory Session Participation Form
TRE® (Tension, Stress & Trauma Releasing Exercises) is a set of simple exercises and movements that assist the body in releasing deep muscular patterns of stress, tension and trauma. Developed by Dr. David Berceli, PhD, it safely activates a natural reflex mechanism of shaking or vibrating that releases muscular tension and calms down the nervous system. When practiced in a safe and controlled environment with a TRE® provider, it encourages the body to return to a state of balance.
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Email *
Your Name *
Phone number *
Emergency Contact Name & Phone Number: *
Why are you interested in learning TRE®?
TRE® Tuesdays: What 3 upcoming Tuesdays work best for your schedule? 
What timeframe works best for your schedule?
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TRE® Release Form:

1. Please read carefully. By clicking below you are acknowledging you have read and agree to each term. I understand TRE® is a safe and effective stress release technique for most people. The TRE® process should not be used as a substitute for trauma recovery procedures of a medical or psychological nature. Individuals who have physical or psychological conditions that require strict regulation, individuals with a complex history of trauma or restricting medical limitations should consult their medical practitioner prior to performing these exercises.  
2. I agree to accept full responsibility and liability for my participation in TRE® sessions, either in person or virtually, and for my mental, physical and emotional health. I understand that I am voluntarily participating in a TRE® session(s) and will indemnify and hold harmless Rachael Pecore-Valdez, Reading Nature LLC and TRE® For All, for any and all adverse outcomes that may result. *
3. I understand that during a group session, individuals may share information and I agree to keep everything confidential and will not discuss any information with others outside of the TRE® group.   *
4. I will inform my provider of any medical and psychological conditions before starting TRE®. I will also inform them of any physical or psychological changes, including ones after participation. This allows my provider to adjust the TRE® practice so that it is safe and effective.   *
5. I also understand that by learning TRE® I can decide to do the exercises on my own (self-care practice) but take full responsibility for my well-being when practicing without a trained provider present. I agree that I am not a trained provider and MUST NOT try to lead individuals or groups without becoming trained by a certified TRE® trainer. *
6. I give my provider permission to call my contact person in case of any emergency or if the provider feels any concern for my safety and well being. *
7. Health information: To ensure that your TRE® session is safe and comfortable for you, please take a moment to go over your health issues and concerns. Check the box if you have any condition (either diagnosed or undiagnosed) and briefly describe the issue below. The TRE® exercises can easily be modified to meet your individual needs. You should not feel any pain while doing the exercises so please let me know if you experience any type of discomfort.
Please briefly describe any of the above health conditions you checked:
Anything else you'd like to share?
Thank you! I will be reviewing your responses and may follow-up with questions before sending a schedule confirmation and payment details. 
Rachael Pecore-Valdez, certified TRE® Provider,
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