Please note: The details you enter on this form are sent by secure email to the Phil Parker Group where they are stored securely in line with Data Protection Act 1998. You will also be sent a copy of the details you have completed by email for your records so please ensure you enter an email address which you are happy to receive this and correspondence from us regarding the course.
Best telephone number to reach you on*
Skype Address - if you have one
Date of birth*
How did you hear about the Lightning Process?
I would like to train with*
---Team Member (£695)1:1 Team Member (£1,350)
Preferred Team Member
Prefer seminar in Bristol, Bath or either one
---Either is fineBristolBath
Thank you for choosing to apply to train with the Phil Parker's Bristol and Bath team. If you have any questions, please contact the office on +44 (0) 20 7374 0233.
Before you are accepted on to the course we will contact you by phone to introduce ourselves, to ask you some questions about your understanding of the Lightning Process and to answer any questions you may have. Through discussion with you, we will assess whether this training programme is right for you at this time and provide you with any pre-course coaching required to help you prepare yourself for the training.
1. Have you listened to the Home Study Section of the LP, or read ‘An Introduction to the Lightning Process’?*
2. Are you willing to attend and participate in the discussions, training and coaching sessions?*
3. Personal History
How would you describe your illness/symptoms/issues? (Include medical name/diagnosis if relevant)*
Date of Diagnosis
When did your symptoms/issues begin?
How did they start?*
How has this affected your life?*
4. Do you feel you can influence your own health?*
5. Do you believe you can get better/resolve your issues?*
It is important for me to know about your general state of health and health history both physically and mentally. To help me assess your suitability for the seminar please tell me if you have any medical or mental health issues that you have not yet mentioned on this form. If so, please list them below:
The reason we ask about your past medical history is not because we have medical training, but we do need to know if you may need help and support in addition to that of your Lightning Process Practitioner.
Can you use lifts? YesNo
Do you need step-free access? YesNo
6. Your Lightning Process Course
What do you hope to achieve from doing the course?*
What would you love to do with your life?
7. Do you know of someone or have you spoken to someone who has used the Lightning Process to recover their health? Yes No
Their Name if known
8. Have you applied to take the training before? Yes No
If ‘No’ go to question 9 If ‘Yes’ which practitioner did you apply to?
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.
9. I would like to be accompanied at the seminar*
As space can be limited on some courses, please discuss availability with your practitioner during your phone call, if you would like to be accompanied. This person will need to complete a separate Learning Facilitator form.
The Lightning Process is a training programme, not a therapy, and there is no requirement for you to share personal information with other members of the group, but some people may choose to do so. Do you agree to maintain confidentiality with regard to personal information shared by others during the training?
11. Payment Details
The training fees for taking the Lightning Process training with a member of Phil Parker's Team in Bristol or Bath are £695 in a small group setting or £1,350 for a one to one. This includes any pre-course support or coaching, your assessment, 3 half days of training and course materials and 3 hours of follow up phone calls (to use within the year following training). Additional follow up coaching sessions and advanced seminars are available at extra cost after the training seminars as needed.
Payment is only payable once you have been accepted onto a course.
You should only sign this application form if you agree to the terms and conditions below and to the following statement:
“I understand that the Lightning Process is a training programme. Its’ purpose is to train me in the tools of the Process, and I realise that simply attending will not guarantee me any results. I recognise the changes I want can best be obtained by
fully participating and engaging in the seminars and continuing to apply it after. I am ready and committed to do this.”
If you agree with the above, please type your name here*
The following must be completed if you are under 18 years of age
Please ask your parent or guardian to read through the form and if they also agree to the terms and conditions, for them to sign the form too.
Relationship to applicant:
Conditions of Payment
Once paid you have seven days to cancel your booking and receive a full refund if training has not commenced. After this fees cannot be refunded in the event of a cancellation on your part, or a failure to complete the training. This is because we run small group trainings with limited spaces; if you take up a space and cancel, no one else will be able to fill it once the course starts. However, if you cancel at short notice and we are able to fill your space your fees will be refunded. We reserve the right to terminate your training if we feel your continued participation would be unhealthy or unhelpful for you or another member of the training group. Your fees will not be refunded in these circumstances.
Cancellation of Seminars
On occasion unforeseen circumstances may make it necessary for us to cancel a seminar and accordingly we reserve the right to cancel seminars where appropriate. In such circumstances you will be given as much notice as possible and we will either refund the full seminar fee or, if you request, move the training to an alternative date. Liability for any losses other than the seminar costs will not be accepted.
All documents you receive as part of your training constitute the intellectual property of Phil Parker and are not to be reproduced, sold or distributed in anyway.
The purpose of the Process is to apply it to resolve your personal issue(s). Participation in the Process does not amount in any way to permission to reproduce or train others in any of the techniques or materials (including graphical images, text, audio or visual presentation) that are demonstrated or provided.
Data Protection Policy
The Register of Lightning Process Practitioners is registered with The Information Commissioners Office and all information is held in accordance with the Data Protection Act 1998.
You can decide to have your attendance certificate logged, together with your name,
certificate number and e-mail address with the Lightning Process Head Office. This
If you would like this option please select the YES option below
I would like my attendance certificate logged with name, email address and certificate number YesNo
In addition to the logging of your details for the purposes outlined above, we would also like to occasionally inform you of relevant developments in the Lightning Process® and its associated programmes. This is an optional service. Your details will never be passed on to anyone else for any reason. Please select the option YES below if you wish to receive occasional and relevant correspondence from us about this.
I would like to hear about relevant developments in the LP and associated programmes, including the monthly graduate newsletter from Phil YesNo
In order to conduct further research into the Lightning Process we would like to contact you at regular intervals to monitor your progress. We will not use any details by which you may be identified in any statistics that we produce. Please select the YES option below if you agree to this.
I am happy to be contacted in the future to monitor my progress YesNo
Keep in touch with the Phil Parker's Team through our free newsletter for the latest news, updates, free resources and events. Please select the YES option below to receive your copies.
I would like to keep in touch with Phil Parker's Team through email YesNo