Application

Before you begin your application, please read our Terms and Conditions.

Confirmation *

Please confirm that you have either read “An Introduction to the Lightning Process” by Phil Parker or listened to “Part One of the Lightning Process” home study audio programme. This is an essential step before completing this application form.

Yes, I have read or listened to the appropriate resource.

1. Personal details

Name *

Name

First Name

Last Name

Birth date *

Birth date

If you are under 18 your parent or guardian will need to accept the Terms and Conditions of this course on your behalf.

YYYY

Gender *

Occupation/Most recent occupation *

Mobile phone *

Please list your home phone number if you don’t have a mobile number.

Home phone *

Email *

Address *

City *

Country *

2. Personal history

Thank you for sharing details of your medical history so that I can be prepared to give you necessary help and support.

How would you describe your illness/symptoms/issues? *

Please include medical name and diagnosis if relevant.

Diagnosing consultant or doctor: *

Date of diagnosis: *

When did your symptoms/issues begin? *

How would you describe your issues, symptoms, illness and how are they affecting your life? *

Please include medical name and diagnosis if relevant.

Do you know of someone who has used the Lightning Process to recover their health?

How did you hear about the Lightning Process?

How did you hear about Sarah Field?

Accessibility

Please tick if you require wheelchair access at the course venue.

Yes, I require wheelchair access.

Support person

Please tick if you would like to bring a support person with you. A support person is an individual who attends but does not complete the training course. As space is limited, I cannot guarantee that you will be able to bring a support person with you.

Yes, I would like to bring a support person with me.

3. Application questions

Do you feel you can influence your health?

Do you believe you can get better/resolve your issues? *

What do you hope to achieve from doing the course? *

When you resolve your issues, what would you love to do with your life? *

Please list a minimum of 5 specific things

Have you applied to take the training before? *

If NO - please skip to Section 4. If YES - please answer the following.

If ‘Yes’ which practitioner did you apply to?

And when?

What has changed for you since applying to that practitioner?

I may need to speak to that practitioner about your application, please confirm that you give me permission to do this.

4. Confidentiality

Do you agree to maintain confidentiality with information shared by others during the training? *

Yes, I agree.

5. Terms and Conditions

Please click the link above the form to read the Terms and Conditions.

Agreement *

If you are under 18 your parent or guardian will need to read and accept the Terms and Conditions on your behalf.

I have read and accepted the Terms and Conditions.

Name of parent or guardian:

If applicable.

First Name

Last Name

As a parent or guardian, what is your relation to the client?

If applicable.

These questions relate to the “Data Protection Policy” section of the Terms and Conditions.

I would like to have my attendance certificate logged with the Lightning Process Head Office:

I wish to receive occasional and relevant correspondence about developments in the Lightning Process:

I give my permission to be contacted at regular intervals to monitor my progress for the purpose of further research into the Lightning Process:

Apply

Application for the Phil Parker Lightning Process Training with Sarah Field

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