Sign-Up for the Hypnotherapy Group Session

Name *

First

Last

Phone * Email *

Terms and Conditions

Please read the terms and conditions for the group session from the link below.

Click here for the terms and conditions

Payment

For participants residing in the United States, payment can be made via Venmo or Zelle. A QR code will be provided in your confirmation email. If these options are not convenient, please feel free to contact me to discuss alternative payment methods.

For those residing outside of the United States, please contact me directly for the payment method.

Checkbox *

I acknowledge that I have read, understand, and agree to the terms and conditions for the group session above. I will pay the session fee before the session. I will participate the group session in Japanese. I will participate the group session in English.

*You will receive the confirmation email with the Payment Information and Microsoft Teams link from miyakohypno@outlook.com. Please check your junk or spam folder if you don’t see it in your inbox. If the email doesn’t arrive, feel free to contact me at (619) 818-2615.