I, ______________________________________ (please print name), hereby signify my intent to participate in the Facilitator Coaching Program offered by The Human Systems Institute. Enclosed is my non-refundable deposit of $275 made out to the Human Systems Institute. (Your deposit will be applied to the last session’s tuition.) By signing this letter, I am signing up for the entire program and agree to pay the tuition for any sessions I miss. (This entitles me to view any video recordings that may be made of the days I am absent.) If I choose to withdraw from the program, I agree to pay the full Program tuition. If I miss a significant portion of the program and pay my tuition, I may return in the following year and complete the Program where ever it is held without any additional tuition charges, providing space is available. I understand my participation is important to the success of the other members of the Program, and will do whatever is reasonably within my power to ensure my full participation in the Program. Laughing Bones, Inc., The Human Systems Institute, Jane Peterson and Donald Chitwood reserve the right to accept or reject any person as a participant at any time, and to make changes in the Program or setting whenever deemed necessary for the comfort, convenience and safety of the participants, and to cancel a Program session at any time. In the rare event a session must be canceled, Laughing Bones, Inc., The Human Systems Institute, Jane Peterson and Donald Chitwood shall have no responsibility beyond the refund of moneys paid to it by participants for that Program session. By registering, the participant agrees that neither Laughing Bones, Inc., The Human Systems Institute, Jane Peterson nor Donald Chitwood shall be liable for any damages, loss or expense occasioned by any act or omission by themselves or any other Program participant.