Guardian form

We believe in giving back and recognize you may need a little help to reach your dreams

Please fill in this form if you are intending on bringing a minor to a course. Re a child under the age of 18

How it works

Fill in the form below to agree to your child being solely supervised by yourself
You will be contacted by e mail from info@thetahealingacademy.com (Please add to your approved senders)

By signing this contract, I hereby agree to take full and sole responsibility for my child

I also agree that my child will not be granted a thetahealing license and is attending a course for my convenience

I understand that my child may learn how to meditate during a seminar

I agree that my child will be well behaved throughout

It is also confirmed that my child is not of a legal age and that I do not hold Theta Healing Academy or any of it's representatives responsible for any effect on my child after sitting in on a course with me.

I do not hold Theta Healing Institute of Knowledge or any representative of Vianna Stibal responsible for any effect on my child.

Finally, I agree that if for any reason I decide to withdraw my child from attending, this is solely my choice as the legal guardian.

I take full responsibility for the child's well-being, mentally, emotionally, physically and spiritually at all times.

* Indicates required field

Name *

First

Last

Email *

First and Last name of Child *

Date *

Signature, please print your name here *

Submit

All of our Theta Healing® Certified Practitioner Courses are approved and accredited by Vianna Stibal’s Theta Healing® Institute of Knowledge. Theta Healing® “®/TM: Trademarks .”

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About

Guardian form

We believe in giving back and recognize you may need a little help to reach your dreams

How it works

​All of our Theta Healing® Certified Practitioner Courses are approved and accredited by Vianna Stibal’s Theta Healing® Institute of Knowledge. Theta Healing® “®/TM: Trademarks .”

All of our Theta Healing® Certified Practitioner Courses are approved and accredited by Vianna Stibal’s Theta Healing® Institute of Knowledge. Theta Healing® “®/TM: Trademarks .”