Clarity Institute

NLP Study/Play Group
Reservation Form

This group meets on Monday evenings from 7-10 pm in the Los Angeles / San Fernando Valley area. This is an informal study/play group that meets to further your study and skills of NLP. A general topic is presented and discussion, exercises and fun follow. For reservations, please complete the form below. You will receive a personal reply via email which will include your confirmation (space permitting) and the location and directions to the facility. RESERVATIONS ARE REQUIRED, space is limited and fills up quickly so submit your request early. Once your reservation is confirmed and you have participated in the Study/Play Group, you will have priority rating for future reservations.

All Fields are Required.

Session you would like to attend:

First Name

Last Name

Email

Phone number where you can be reached if an

alternate time/location becomes necessary?

Occupation:

How did you hear about this Study/Play group?

Have you ever had any NLP formal training? Yes No

If yes, when and with whom?

Have you done any NLP self-study? Yes No

If yes, please describe?

What specifically do you want to know more about if you participate in this study/play group?

How would you imagine your participation in the study/play group having positive outcomes for you?

If you wanted to change anything about your life, what would it be?

What prevents you from changing it now?

Does anything prevent you from having fun while learning? Yes No

What ONE word describes you better than all the others?

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Session you would like to attend:
First Name
Last Name
Email
Phone number where you can be reached if an
alternate time/location becomes necessary?
Occupation:
How did you hear about this Study/Play group?
Have you ever had any NLP formal training?	Yes No
If yes, when and with whom?
Have you done any NLP self-study?	Yes No
If yes, please describe?
What specifically do you want to know more about if you participate in this study/play group?
How would you imagine your participation in the study/play group having positive outcomes for you?
If you wanted to change anything about your life, what would it be?
What prevents you from changing it now?
Does anything prevent you from having fun while learning?	Yes No
What ONE word describes you better than all the others?