Please fill in the Application form and return it to the address below if you wish to take the Lightning Process.
Date and city in which you wish to attend the seminar:
Notes to help you filling the form:
Am I ready to take the training?
The Lightning Process is a training program. Our experience shows that if people apply the lessons of the Lightning Process to their lives, they can start to change old patterns of thinking which in turns influence their health and happiness.
With any training program, the trainer can only take responsibility for training and coaching at the best of their ability, then the student must apply the lessons for himself/herself. If the student doesn't apply the training, they will naturally see very little benefit.
We recommend that you think long and hard before taking the training. Does it sound like something which appeals and make sense to you, something you can commit yourself to? Yes/No
If you feel doubtful or cynical or just want to give it a go to see what happens, then now is probably not the right time for you - wait until you feel this way, ask others who have done the process, see what else is available or you will probably be wasting your time and money.
2. How the training is conducted:
Much will be demanded from you over the 3 days of the seminar, but if you take on the challenge, the rewards are extraordinary.
Your trainer has a very demanding role during the seminars. They have not only to present you with the material, but also manage and assist you as you go through that very challenging process. There are certains ground rules and understanding which will make the training easier for you and for them:
Your trainer is completely committed to your success, as a result:
they won't tolerate any behaviours that prevent you getting the success that you deserve
they will deliver no-nonsense, honest and essential feedbacks, do not mistake this as not caring.
They will not always say what you want to hear
If what you are doing is going to cost you your success they will tell you even if it risks you being annoyed with them
That's how committed they are to you and your success.
3. Your role in the training:
You will need to fill in the agreement which is included in the application form below.
PLEASE MAKE SURE YOU FILL IN ALL SECTIONS:
1. Agreement
Please read these statements, and if you agree with them, circle the AGREE word:
I understand the Lightning Process is a training program AGREE/DISAGREE
I understand that learning the Lightning Process doesn't guarantee me any result AGREE/DISAGREE
I accept full responsibility for the effects of applying or not this training program to my life AGREE/DISAGREE
I recognize that the mind and body can powerfully influence each other AGREE/DISAGREE
I am prepared to recognize and challenge my beliefs about my condition/illness, my health and myself AGREE/DISAGREE
I am totally prepared to do the sometimes-challenging work of starting to think very differently that is required to get myself back on track AGREE/DISAGREE
2. Personal details and history
Name
Full Address
Phone Mobile
Email
About you(this helps us to ensure that the course is suitable for your needs and give us a sense of who you are)
Sex: M/F
Date of birth
Nationality
Occupation
What you hope to get from doing the course?
How would you describe your problems/issues/illness (include medical name/diagnosis if relevant)?
When did your issues begin?
How did they start?
What limiting effects has it on your life?
I know someone personnaly who used the Lightning Process to recover their health Yes/No if Yes, what's their name?
3. Future
When you have discovered a way to get well/resolve your issues, what would you put your energy into? What would you love to do with your life?
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4. Readiness
Overall, what score would you give yourself out of 10 for your belief that you can recover using the Lightning Process? _______
Please score each of the following out of 10 where 10 means "I totally agree with this statement"
I want to resolve all my issues __________
It is possible for me to resolve all my issues ___________
I am capable of learning how to resolve all my issues __________
It is appropriate for me to resolve my issues and I'm prepared to do what it takes to make these changes _________
I am willing to change negative lifestyle patterns, thoughts processes and limiting beliefs _________
I have the responsibility for resolving those issues and the power to do that _________
I deserve and I am valuable enough to resolve my issues __________
In terms of my issues and my ability to follow instructions, I'm similar enough to all those others who have used the process to recover that I am bound to make the same kind of changes as them _________
I am determined to be the next success story Yes/No
5. The X factor
Please write down a few sentences on what you think is needed from YOU during the Lightning Process to get those changes that the others have achieved.
6. Please select one answer
If you are presented with information, do you tend to accept things as they are rather than tending to question them? Yes/No/Other..............................
If others can get well with the process, so can you: Yes/No/Other.......................
My type of illness/issues that I want to use the process on are generally easily recoverable from. Yes/No/Other................................
My specific illness/issues are easy to resolve using the process: It's definitively this way/Maybe true for some/I don't know/Not true
My issues are different from other people's one: It's definitively this way/Maybe true for some/I don't know/not true
Pair the words on the left with just one with the opposite meaning:
Simple
Smooth
Difficult
Short
Complex
Soft
Rough
High
Tall
Can you suggest any improvements or comments about the form?
7.Previous and multiple applications
Have you applied to take the training before? Yes/No. If No, go to paragraph 8.
If yes, which trainer did you apply to and when?
What has changed for you since applying to that trainer?
To process your application, we'll need to speak to that trainer about your case, please only send in the application form if you agree to this.
Please do not send in multiple applications to different practitioners.
8. Training agreement
Please read, and if you agree to it, sign it:
I promise that during the training I will:
Deeply and honestly examine my beliefs
Be available for coaching at all time
Change anything that my trainer identifies as destructive
Be open to feedback
Recognize that I have blindspots that I don't even know I have
Signature
Date
9. Payment details
Fees for the training seminar with Peggy Gugliemino are £640 for UK group seminars. This include the seminar material, your phone assessment prior to the seminar and two phone follow up consultations.
Condition of payment: Once paid, the fees can't be refund in the event of cancellation from your part, or failure to attend the training. This is because we run sessions with limited spaces. However if you cancel at a short notice and we are able to fill in your space, you'll be refunded.
We reserve the right to terminate your training if we feel your continued participation would be unhealthy or unhelpful for you. Your fees won't 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 when 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.
Ownership
All documents you receive as part of your training constitute an intellectual property and are not to be reproduced, sold or distributed in anyway.
If you agree to all the above conditions in this document, please fill in and sign the following declaration: I ........................................................understand and agree that once I paid my fees they can't be refunded, that I understand the statements I have agreed to and agreed to adhere to the above conditions.
Signature.
The following must be signed if you're under 18
If you're under 18, please ask your parent or guardian to read the form and if they also agree to the terms and conditions to also sign the form too
Name ................................................... Signature ................................................................. Relationship to applicant ............................................................................
Thanks for helping us speed your application by filling this out.
If you're planning to bring someone to help you in your learning, please get them to fill in the form you can download by clicking here .
