• I will pay by Credit Card (To authorize credit card payment by phone, please call our office, (513) 321-4242, Monday through Friday, 9am-5pm, ET)
  
• I will send a Check to the above address. Registration is complete upon receipt of Payment
  
  

TeleClass Agreement
I (participant/parent) am signing up for a TeleClass. I understand that this is an educational experience. I understand that this is not an advice giving, counseling or psychotherapy group. I understand that the content of this class may include examining modes of operating in life, brainstorming, identifying plans of action, the sharing of educational information, the asking of clarifying questions and the making of empowering requests.

As a participant, I understand and agree that I am fully responsible for my well being during, after, and between TeleClasses. I am responsible for any and all choices and decisions I make. I understand that, if necessary, a professional referral will be suggested.

I agree that all information shared during the course of this class will be kept strictly confidential. (Of course, I may share my class experiences and insights with people in my life, but I understand that I may not share any information about anyone else in the class.)

I understand that TeleClasses have a limited enrollment and are filled on a first come, first serve basis. My signed contract, and my payment in full, guarantees me a spot in the class when a spot is available. If a class is full, I will be told of the next scheduled class opportunity and my fee will be returned to me.

*Please note. A Registration may be cancelled up to 24 hours prior to class start time. After that, there will be no refunds, under any circumstances.

My signature on this agreement (and a parent’s signature, when applicable) indicates full understanding of and agreement with the information outlined above.