Programme - The Journey with Brandon Bays

Practitioner Programme Application (Please PRINT / use BLOCK letters)

Personal Details Salutation (please circle): First Name:

Mr / Mrs / Ms / Miss / Other __________________

___________________________________________________

Last / Family Name: ________________________________________ Date of Birth: DD/MM/YYYY _______________________________________

Home Address: House name/number

___________________________________

Street ______________________________________________ Town ______________________________________________ County/Province/State __________________________________ Post/Zip code: ________________________________________ Country _____________________________________________

Telephone (including country code): Home ______________________________________________ Work ______________________________________________ Mobile/Cell ________________________________________

E-mail:

Home ______________________________________________

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Work ______________________________________________

EMERGENCY CONTACT: Name ______________________________________________ Telephone: __________________________________________

Current Occupation: Full / Part time (please circle) __________________________________ Please attach a passport size photo here  Please complete the following questions in the spaces provided: 1) Which Journey Intensive have you attended? City:

_______________________

Month: Year:

_______________________ _______________________

2) What is it about Journeywork that most attracted you?

3) Why do you wish to be a Journey Practitioner?

4) I plan to use the work (tick all that apply) Personally With family & friends Practitioner Programme FULL Application

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In the work place Professionally in private practise

5) Do you have any previous therapy training (please list)

6) Please tick to agree to the following: My current health allows me to travel to each module I am available to attend all the modules I have family/friend support during the Programme Participation on residential courses requires I complete a medical questionnaire 7) What is your experience of Source?

8) Describe the effect the Physical and Emotional Journeys had on you personally.

9) Are there any circumstances financial, emotional, mental, physical or family challenges, medical diagnoses that we should know about that might prevent your full participation in the Programme? Practitioner Programme FULL Application

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10) My first language is _____________________________________________ 11) I can speak and understand English fluently YES/NO

Signed: __________________________________

Date: _______

Your name and contact details will be added to a list of Training Journey Practitioners and may be given to people offering to be a case study and to other Journey Practitioners. You will be added to The Journey mailing list and will receive updates and news about our seminars. Our mailing list is never sold or passed onto a third party.

Below is a list of the courses you must attend to become eligible to be a Journey Accredited Practitioner. Please refer to the current schedule in order to complete and return your individual timetable below.

Please note the events listed in bold must be completed in the same training cycle (even if you have taken them previously).

SEMINAR

COURSE DETAILS I have attended / will attend (delete as appropriate)

MANIFEST ABUNDANCE RETREAT

Country:

3 Day Retreat Friday 14.30h – Sunday 20.30h

City: Date: I have attended / will attend (delete as appropriate)

ADVANCED SKILLS

Country:

One day workshop 08.30h - 19.30h

City:

(This is also the 3rd day of the Journey Intensive)

Date: I will attend

NO EGO RETREAT 2014

*

7 Day Retreat

Country:

Netherlands

City:

Elspeet

Date:

16 – 23 May 2014

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HEALING with CONSCIOUS COMMUNICATION

*

3 day workshop Friday 17.00h – Sunday 20.00h

TRAINERS TRAINING 3 day workshop Friday 17.30h – Sunday 20.30h

I will attend

Country: City: Date: I will attend

Country: City: Date: I will attend

LIFE TRANSFORMATION WEEK 2013 *

Country:

Netherlands

8 day Retreat

City:

Elspeet

Date:

4 – 12 July 2014

(* indicates events which are part of the Payment plan open) ( indicates events presented in English (excluding UK events) offering translation facilities – please check with your local Journey office to check if your preferred language is offered. Please indicate if you require translation – YES / NO All Translation is charged at €15 per day: Manifest Abundance €45; No Ego €105; HCC €45; Life Transformation week €120

I agree to attend the above listed events in order to complete the Journey Practitioner Programme I understand that participation in the Programme does not automatically qualify me as a Journey Practitioner.

Name: _________________________________________ (Please print)

Date: _______________

Signature: _______________________________________________________________


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Payment Plan Option The total course fee for the advanced modules of the Journey Practitioners’ Programme for 2013/14 is: €5575 Euro’s This includes: Healing with Conscious Communication

€ 495

No Ego Retreat

€2390

Life Transformation week

€2690

COURSE FEE TOTAL

€5575

Payment Options (Please complete Section 1 & 2 below) PLEASE NOTE all fees are payable in EURO’S €

Section 1 – PAYMENT CHOICE: I would like to book and pay in monthly installments. There will be a 5% admin fee for this option. Total payable €5853.75 or

take advantage of the Discount Option!

If you book all events and pay in FULL within 28 days of acceptance to the Programme you will receive attendance to the HCC module free – a saving of €495. Total payable €5080



All Costs include a non-refundable deposit of €500

Section 2 – PAYMENT METHOD: I will pay by Credit / Debit Card



OR I will pay by Bank Transfer



Please note that payment by bank transfer may mean that your bank will charge you for this transaction – please make certain that any transaction costs are paid by you and not deducted from the fees due to The Journey.

Payment Terms 

Deposits are non refundable.

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

A 10% administration fee will be applied per course if you withdraw from the Training Programme.

I ____________________________________________ (NAME – please PRINT) have read, understood and accept the payment options and the payment terms above. Signed: ______________________________________Date: ______________________ Please note: ALL info and details are correct at the time of printing and may be subject to change.

Practitioner Programme - Confidential Medical Questionnaire The purpose of this questionnaire is to support you through the Practitioner Programme

1. Medical History Do you have any current health conditions that we should be aware of in order to support you during the course of the Programme. (Please list below)

2. Please describe your current health and list any medication you currently take

3. Family History: Please list any family (parent/grandparent) conditions we should be aware of.


4. Operations & Accidents: Have you had any recent serious operation or serious accident? (Please give details)

I ______________________________________________ (Name - please PRINT) confirm that the details given in the medical questionnaire above are accurate.

Signed: _____________________________

Date: ____________________

Disclaimer The Journey Practitioners’ Programme

During the Programme you will be using The Journey as a process of guided introspection, in which you will be getting in touch with powerful emotions and uncovering cellular memories stored inside your own body. Whilst we will do everything we can to support you during and after this Programme, Journey Events Ltd; its employees and associates cannot be held responsible for either your personal process work or any of its results. The Journey strongly recommends that you support your physical body to the highest and best during the period of your training. The courses themselves can sometimes involve long hours of study and processing, so adequate sleep and conscious food


intake are particularly important during these times. We also recommend that, as far as is possible, you should book a day or two of rest time immediately following the residential retreats for your body and being to integrate prior to returning to work.

I ________________________________________ (Name - please print clearly) have read, understood and accept the above conditions.

Signed: ____________________________________

Date:________________________


CODE OF CONDUCT GUIDING PRINCIPLES FOR JOURNEY PRACTITIONERS AND TRAINING JOURNEY PRACTITIONERS

The Journey Practitioner Programme is possibly the most comprehensive, in-depth, transformational, healing programme available in our time. It guides and empowers you with a vast array of cutting-edge skills and liberating process work, which can powerfully and positively transform every area of your life, allowing your full potential to flourish, freeing you to live life to its fullest. It can enable you to bring that healing transformation and awakening to others, facilitating unbridled freedom and vibrant health. MAINTAINING THE HIGHEST PROFESSIONAL AND ETHICAL STANDARDS The Journey is continually deepening, expanding and growing organically as an organisation. Once you have completed the Programme and attained Journey Accreditation, your status as a Journey Accredited ® Practitioner will be valid for life. Please be aware however, that Journey Accredited® status authorises you to practice one-to-one therapies only. Workshops, seminars, retreats or group presentations based on, or offering Journeywork to more than one person at a time are specifically excluded from this authorisation. Introductory presentations can be held as long as they don’t include Journey process work and they will need to be authorised by agreement with The European Journey office manager. We strongly encourage you to deepen in your own experience of Journeywork and to keep up to date with the most current teachings. This will help you to maintain the highest professional and ethical standards in your practice. RESPECT FOR THE INTELLECTUAL PROPERTY OF THE JOURNEY AND BRANDON BAYS  As a Journey Accredited® Practitioner please create your own company name and logo. Your company should have an identity distinct and separate from The Journey’s.  As a Journey Accredited® Practitioner in your one-to-one Journey Practice, you are licensed to use Brandon Bays’ name, The Journey name, The Journey books’ titles and subtitles (in any language), and The Journey’s logo.  You are not permitted to use Brandon’s name, The Journey name, any Journey logo or device, The Journey books’ titles or subtitles (in any language), the title or subtitle of any Journey seminar, workshop or retreat, or any derivative form of the above in any other context without written permission from a current Director of The Journey. KEEPING YOUR RECOMMENDED STATUS AS A JOURNEY ACCREDITED® PRACTITIONER In order to maintain and monitor the high quality of The Journey work available and to retain your Recommended Status as a Journey Accredited® Practitioner and be listed on The Journey International website you will need to:  

Attend a Journey Intensive at least once a year as a trainer (please book through the Journey office) Attend a Practitioners’ continual development event a minimum of once every three years, to review, work on your own ongoing issues and keep up to date with the latest work (please book through The Journey office) The first resit to be 3 years following the year of your Accreditation

If for any reason you are unable to meet the course and case study requirements, your details will be removed from The Journey website and from the “Recommended” register. Should you subsequently meet the requirements; your details will again be added to the website and the register. (Your status and good standing as a Journey Accredited ® Practitioner are not affected by these requirements.) RESPECT FOR THE TERMS OF THE LICENCE GRANTED TO YOU AS A JOURNEY ACCREDITED ® PRACTITIONER  You are expected to observe the above terms. The Journey will use any and all remedies in the event of any breach of the Code of Conduct Guiding Principles including, depending on the severity of the breach, suspension of Accreditation through to rescission of Practitioner credential as well as appropriate legal action. I ________________________________________________________________________ (Name - please print clearly) have read, understood and accept the Code of Conduct Guiding Principles Signed: _________________________________________________ Practitioner Programme FULL Application

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