Seminar Registration: You can download the pdf by clicking 1RegistrationSpiritistSeminar

Or copy this page, fill out, sign and send by email to [email protected]

or mail to IMHU, c/o Bragdon, 8 clough ave, Windsor, VT 05089

Registration

Seminar in Brazil for

Health Provider’s

with Foundation for Energy Therapies, Inc.

Name Dates of Trip:

Today’s date:

Address

City, State, Zip

Phone (H) Email:

Phone (B)

Cell phone:

Passport number/country: Date of Birth:

Preference for room-mate: ___________________________Check for Single room: ______

If you are sharing a room –check preference Shared bed_____, Separate beds ______

Special needs you have, e.g. wheelchair?

Dietary restrictions?:

In Case of Emergency while you are in Brazil—please provide these contacts:

Your Medical Insurance Company_____________________

The Policy Number of your insurance__________________

Phone number for us to call your insurance company:____________________

Family member name (not with you) __________________________

Relationship to you___________________________

Phone number __________________________

Email ___________________________________

What is your role as a healthcare provider?

Do you want CE credit hours?____If yes, for which license ______

What is your motivation for doing this trip? (use extra page if necessary)

Please attach a recent photo without sunglasses.
Read and sign the following Agreement with your legal signature
Get flight to Goiania: Schedule arrival for early to mid-day on Saturday of our first day.
Send in your deposit of $750 to reserve your place on the tour. Make check out to “Foundation for Energy Therapies, inc.” c/o Emma Bragdon, PhD., Exec. Director, 8 Clough Ave, Windsor, VT 05089. Or you can pay online: https://courses.imhu.org/courses/Spiritist-therapies-in-Brazil

Questions?: Email Emma Bragdon: [email protected] Ph (no texting): 802-674-2919

Agreement with Foundation for Energy Therapies, Inc.

Regarding Seminar Brazil

Responsibility: The Foundation for Energy Therapies, (the “Operator”) is responsible for coordinating arrangements for the services offered in this packet of materials, including seminar materials, hotel accommodations and most meals for your stay, group van transfers and all daytrips and side trips. Dr. Emma Bragdon is the Executive Director of The Foundation for Energy Therapies, Inc, dba IMHU. The carriers, hotels and other suppliers providing their services are independent contractors and are not agents, employees of, or joint venturers with the Operator.

Liability: The tour participant agrees that neither the Operator nor Dr. Emma Bragdon shall be liable for any damage, loss (including losses related to personal injury, death, and/or property loss) or expenses occasioned by any act or omission of Operator or any supplier providing tour services, or any other person. Operator is not responsible for the willful or negligent acts and/or omissions of such suppliers. By using the travel services of the suppliers, you agree that Operator shall not be liable for any accident, injury, property damage, or personal loss which may occur to you or those traveling with you, in connection with any accommodations, transportation, or other travel services, or resulting directly or indirectly from any occurrences or conditions beyond Operator’s control. Such occurrences or conditions would include, but are not limited to, acts of terrorism, civil unrest or hostilities, acts of nature or of animals, governmental actions, defects in vehicles, breakdown of equipment, strikes, theft, delay, or cancellation of or changes in itinerary or schedules. Operator is not responsible for: any expense or inconvenience caused by late arrivals of any such conveyances of such travel suppliers or any change of schedules, conveyances or accommodations determined by the tour operator; or for any cancellation or disruption of any such services provided by any travel suppliers; or for any failure on the part of any such tour operator or travel supplier to perform by reason of financial difficulty or default, suspension of operation, or other reason; or for any refunds for travel accommodations not provided by such tour operator or travel supplier.

Roommates are not guaranteed: Single rooms in the hotels where we stay may incur an extra charge. We will do our best to provide you with a suitable roommate if your preference is to share your room.

Changes or Cancellations: If the services included in the seminar and tour cannot be supplied, or itinerary changes occur for reasons beyond the control of Operator, it will arrange, wherever possible, for the provision of comparable services. Any resulting additional expense is payable by the tour participants, and any resulting saving will be refunded by Operator to tour participants when, and if, funds are repaid by the agents involved. It is important to remain flexible while traveling. The availability of hotel rooms or land transportation may change without notice due to localcustoms or conditions. Therefore, Operator reserves the right to make changes in the itinerary whenever it deems it necessary for the comfort, convenience or safety of the tour participants, and to cancel the tour at any time. If Operator cancels a tour, it has no responsibility beyond the refund of all monies paid to it by the tour participants.

Customization/Airline Scheduling: If you plan to arrive early or stay beyond the scheduled seminar/tour, or to change your flight plans in any way from the itinerary, it is your responsibility to make those arrangements personally and separately or assure they are completed. You must notify Operator in writing of all flight schedules by the designated deadline. Meeting the deadlines will facilitate arranging group shuttle services.

Baggage Restrictions: The number of bags allowable on board the bus/shuttle is one large suitcase and one smaller carry on. Also, a wheelchair if necessary.

Tour Schedules: Changes from the tour schedule will not be allowed. If you are arriving early, we will meet you at our hotel on the first day of the tour as stipulated in the itinerary. If you are leaving early, you will be responsible for extra charges of getting to the airport earlier if we have a scheduled van. Operator is not responsible for anyone not meeting the tour schedule, but can arrange private taxi services for you, as needed. Time will be allotted on our trip for sightseeing and shopping. Any participant not meeting the schedule may be dropped from the tour at Operator’s discretion, and no monies will be refunded to that participant.

Meals: Many meals are included in this seminar/tour package. Consult the itinerary for details. The cost and arrangements for other meals and snacks are the responsibility of the participant. There will be onsite restaurant and room-service and other choices for meals within easy walking distance. Operator will make every attempt to assure the quality and variety of meals and food provided and to see that those who designate vegetarian meals receive their preference. It is important to remember, however, that foods and cooking styles vary within cultures.

Tips and Taxes: Tips are not included in the tour package, excepting group vanservice. Airport taxes and entry fees are not part of the tour package and must be paid locally when you enter a country that requires them. Your travel agent can advise you about paying these taxes and/or fees.

Payment Schedules: An initial deposit of $750. is required to hold your reservation for the seminar/tour you have selected. Payment schedules are as follows: after initial deposit, total payment is due and payable 30 days prior to departure. It is imperative that the payment schedule be followed. Any individual who fails to make any payment by its designated due date may be replaced by the next person on the list. Please make payments to “The Foundation for Energy Therapies, Inc.”, c/o Emma Bragdon, Director, at 8 Clough Ave, Windsor, VT 05089 USA. Email Dr. Bragdon for information regarding wire transfers: [email protected]

Refunds: This journey requires customization because it involves international communications. The following criteria must be met to receive a refund: After your registration is accepted by Operator you are guaranteed a slot on the tour. If you notify Operator in writing that you wish to withdraw from the tour prior to 4 weeks from the start of the tour, Operator will refund monies paid to that date excepting the non-refundable $750. deposit. If you have paid the full amount but cancel within 30 days prior to the seminar: No monies will be refunded unless we can replace your spot with someone else. If we have another person on our waiting list who can fulfill your spot, we will refund the money you have paid minus the $750 deposit.

If you suspect, for any reason, that a future situation may prevent you from attending this journey (such as on-going illness, familyhealth problems, etc.) “trip cancellation insurance” is highly advised. This is typically available for purchase when you purchase your flights.

Insurance and/or travel protection plans are the responsibility of the participant to secure. The insurance companies will refund monies providing their conditions have been met. For No Shows, the entire payment is forfeited. Remit your insurance payment directly to the insurance carrier.

Travel Guard International (1-877-901-7599) provides trip cancellation

insurance as well as medical protection. They cover pre-existing conditions as well as new problems which could occur. It appears that Travelocity.com has a very economical travel insurance plan. Each participant must be covered by insurance for medical emergencies on this trip.

Participants: No persons other than participants may accompany this tour without written permission of the Operator. Positions will be filled from the first mailing sent out to those designated by Operator which usually includes, but is not limited to, those who have previously traveled with Operator. Any remaining available spaces will be filled in the order in which reservations are received or by designation of Operator. Any individual who sends Operator a deposit, but does not secure a reservation on this tour, will be given a full refund.

Medical Responsibility: It is the sole responsibility of each participant to care for and make choices regarding his/her medical health and well-being.

Today’s Date:

Legal Signatures:

Participant(s) sign here with your signature:

Printed name (s)

Foundation for Energy Therapies sign below:

____________________________

By_______________________