Birth Professionals: Course Enrollment and Release Agreements Name(required) Pronouns (He/She/They, etc.) Email(required) Phone Number How did you hear about this class? I understand that I am attending this HypnoBirthing class series as an observer. The purpose is to gain an understanding of HypnoBirthing to strengthen my knowledge and support of clients and families. Attendance of this HypnoBirthing class does not grant the ability to teach HypnoBirthing to expecting families or certify educators. (Birth professionals who would like the title “HypnoBirthing Doula” may achieve this by attending the HypnoBirthing Support Techniques For Birth Professionals Course. Birth professionals who would like to teach HypnoBirthing to expecting families may achieve this by attending the HypnoBirthing Educator Certification Course.) As an observer, I will respect the integrity and privacy of the families attending this HypnoBirthing class series. I fully understand the contents, meaning, and impact of this agreement. YES or NO(required) I grant permission to HypnoBirthing International and its affiliate Portland HypnoBirthing Center, to use photographs/and or video and audio taken of me. The images/video/audio/may be used for educational, teaching and promotional purposes only. I authorize HypnoBirthing International and its affiliate Portland HypnoBirthing Center to copyright, use and publish the same in print, video, and/or electronically. All educators given access to the images/video/audio have signed an agreement stating the above, and ensuring that no unauthorized content is uploaded to the internet or reproduced. I indemnify HypnoBirthing International from any and all liability arising out of the use of the images/video/audio and waive any and all claims and causes of action relating to the use of the images/video/audio and waive any and all claims and causes of action relating to the use of the images/video/audio, including without limitation, claims for invasion of privacy rights or publicity. I am 18 years of age or older, am the parent of legal guardian of the minor in the images/video/audio. I have read this release before checking this box, fully understanding the contents, meaning, and impact of this release. YES or NO Send Share this:TwitterFacebookLike this:Like Loading...
