APPLICATION FORM 

Somatic Stress Release™ Level II: Intermediate Training

Prerequisite: Somatic Stress Release Level I: Foundations


Name *
Name
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Emergency Contact *
Emergency Contact
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LIABILITY WAIVER
Scott Lyons offers a variety of workshops and trainings internationally. Some of the programs require physical exertion, which may be strenuous and may cause physical or psychological strain. We recommend that you consult your physician before beginning any program. Students must listen to their own bodies and work within their own limitations. If any practices hurt or are uncomfortable; it is your responsibility to never take any exercise to a level of discomfort or pain. Notice is hereby given that all arrangements made on behalf of participants are made by the organizers on the sole condition that the organizers shall not be held responsible for any injury, death, accident, illness, delay, loss, damage, act of negligence, or irregularity. Scott Lyons acts only in capacity as agent for the participant in all matters connected with hotel accommodations, sight-seeing tours, transportation and other travel expenses, whether by air, rail, bus, motorcar, boat or any other means and as agent holds itself free of responsibility for any damage occasioned by any cause. The undersigned hereby also agrees to indemnify and hold harmless Scott Lyons or any other instructors or facilitators, from and against liability, damages, costs, loss or expense (including without limitation, attorney’s fees) arising out of any bodily injury, illness, or loss at any time sustained by the undersigned.
TERMS OF USE
I understand that Somatic Stress Release™ has been developed by Scott Lyons over many years, reflecting intense efforts to synthesize and categorize large bodies of information into materials, methods, techniques and approaches to teaching. The name “Somatic Stress Release™” is synonymous with these specific techniques of teaching based on these efforts. As a condition of participating in this Training, the undersigned hereby acknowledges and agrees that materials, methods, techniques and approaches to teaching learned at w™ are intended to be used and shared by undersigned in their own teaching; however, in order to maintain the integrity and quality of the content offered by Somatic Stress Release™ the undersigned hereby agrees not to appropriate for their own use materials, methods, techniques and approaches to teaching acquired at Somatic Stress Release™  trainings or otherwise and provided by Somatic Stress Release™ without publicly identifying Somatic Stress Release™ as the source of such material, methods, techniques and approaches.
TALENT RELEASE
I hereby give permission in perpetuity and without fee to Somatic Stress Release™, to use photography and footage in which I may appear in any media or format for Scott Lyons and Somatic Stress Release ™ advertising and related promotional purposes. I acknowledge that Somatic Stress Release™ owns all rights to the photography and footage. I appear voluntarily and there is no existing restriction or obligation that would prevent me from appearing.
ELECTRONIC SIGNATURE
By entering the date and my name below, I understand that this constitutes a legal signature confirming that I ac-knowledge and agree to the above Agreement in its entirety.
YOUR ELECTRONIC SIGNATURE *
YOUR ELECTRONIC SIGNATURE
TODAY'S DATE *
TODAY'S DATE