{"id":2335,"date":"2024-10-22T21:36:16","date_gmt":"2024-10-23T04:36:16","guid":{"rendered":"https:\/\/miyakohypno.com\/?page_id=2335"},"modified":"2026-02-02T00:53:47","modified_gmt":"2026-02-02T08:53:47","slug":"sign-up-for-the-hypnotherapy-group-session","status":"publish","type":"page","link":"https:\/\/miyakohypno.com\/en\/sign-up-for-the-hypnotherapy-group-session\/","title":{"rendered":"Sign-Up for the Hypnotherapy Group Session"},"content":{"rendered":"\n\t\t<div class=\"coblocks-form\" id=\"dae53e5df71465ea6713e643da69c85c1cf04c66\">\n\n\t\t\t\n\t\t\t<form action=\"https:\/\/miyakohypno.com\/en\/sign-up-for-the-hypnotherapy-group-session\/#dae53e5df71465ea6713e643da69c85c1cf04c66\" method=\"post\">\n\t\t\t\t\n<div class=\"wp-block-coblocks-form\"><label class=\"coblocks-label\">Name <span class=\"required\">&#042;<\/span><\/label>\n\t\t<input type=\"hidden\" name=\"field-name[label]\" value=\"Name\">\n\n\t\t\t\t<input type=\"hidden\" id=\"name-field-id\" name=\"name-field-id\" class=\"coblocks-name-field-id\" value=\"field-name\" \/>\n\t\t\t\t\t<div class=\"coblocks-form__inline-fields\">\n\t\t\t\t<div class=\"coblocks-form__inline-field\">\n\t\t\t\t\t<input type=\"text\" id=\"name-firstname\" aria-label=\"Plus One First Name\" name=\"field-name[value][first-name]\" class=\"coblocks-field coblocks-field--name first\" required \/>\n\t\t\t\t\t<small class=\"coblocks-form__subtext\">First<\/small>\n\t\t\t\t<\/div>\n\n\t\t\t\t<div class=\"coblocks-form__inline-field\">\n\t\t\t\t\t<input type=\"text\" id=\"name-lastname\" aria-label=\"Plus One Last Name\" name=\"field-name[value][last-name]\" class=\"coblocks-field coblocks-field--name last\" required \/>\n\t\t\t\t\t<small class=\"coblocks-form__subtext\">Last<\/small>\n\t\t\t\t<\/div>\n\t\t\t<\/div>\n\n\t\t\t\n\n<label class=\"coblocks-label\">Phone <span class=\"required\">&#042;<\/span><\/label>\n\t\t<input type=\"hidden\" name=\"field-phone[label]\" value=\"Phone\">\n\n\t\t\n\t\t<input type=\"tel\" id=\"phone\" name=\"field-phone[value]\" class=\"coblocks-field coblocks-field--telephone\" required \/>\n\n\t\t\n\n<label class=\"coblocks-label\">Email <span class=\"required\">&#042;<\/span><\/label>\n\t\t<input type=\"hidden\" name=\"field-email[label]\" value=\"Email\">\n\n\t\t\n\t\t<input type=\"hidden\" id=\"email-field-id\" name=\"email-field-id\" class=\"coblocks-email-field-id\" value=\"field-email\" \/>\n\t\t<input type=\"email\" id=\"email\" aria-label=\"Email\" name=\"field-email[value]\" class=\"coblocks-field coblocks-field--email\" required \/>\n\n\t\t\n\n\n<h3 class=\"wp-block-heading\">Terms and Conditions<\/h3>\n\n\n\n<p>Please read the terms and conditions for the group session from the link below. <\/p>\n\n\n\n<p style=\"font-weight:bold\" class=\"has-custom-weight\"><a href=\"https:\/\/miyakohypno.com\/en\/disclosure-acknowledgement-of-services-for-hypnotherapy-group-session\/\" target=\"_blank\" data-type=\"link\" data-id=\"https:\/\/miyakohypno.com\/en\/disclosure-acknowledgement-of-services-for-hypnotherapy-group-session\/\" rel=\"noreferrer noopener\"><strong>Click here for the terms and conditions<\/strong><\/a><\/p>\n\n\n\n<div style=\"height:20px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n\n<h3 class=\"wp-block-heading\">Payment<\/h3>\n\n\n\n<p>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.<\/p>\n\n\n\n<div style=\"height:20px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n\n<p>For those residing outside of the United States, please contact me directly for the payment method.<\/p>\n\n\n\n<div style=\"height:20px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n\n<div style=\"height:10px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n<div class=\"coblocks-field checkbox required\">\n\t\t\t\t<div class=\"required-error hidden\">Please select at least one checkbox.<\/div><label class=\"coblocks-label\">Checkbox <span class=\"required\">&#042;<\/span><\/label>\n\t\t<input type=\"hidden\" name=\"field-checkbox[label]\" value=\"Checkbox\">\n\n\t\t<div class=\"coblocks--inline\"><input id=\"checkbox-i-acknowledge-that-i-have-read-understand-and-agree-to-the-terms-and-conditions-for-the-group-session-above\" type=\"checkbox\" name=\"field-checkbox[value][]\" value=\"I acknowledge that I have read, understand, and agree to the terms and conditions for the group session above.                                                                                                                                                                                                                                                                        \" class=\"checkbox\">\n\t\t\t\t<label class=\"coblocks-checkbox-label\" for=\"checkbox-i-acknowledge-that-i-have-read-understand-and-agree-to-the-terms-and-conditions-for-the-group-session-above\">I acknowledge that I have read, understand, and agree to the terms and conditions for the group session above.                                                                                                                                                                                                                                                                        <\/label><input id=\"checkbox-i-will-pay-the-session-fee-before-the-session\" type=\"checkbox\" name=\"field-checkbox[value][]\" value=\"I will pay the session fee before the session.                                                                                                                                                                                                                                                                                                                                                                       \" class=\"checkbox\">\n\t\t\t\t<label class=\"coblocks-checkbox-label\" for=\"checkbox-i-will-pay-the-session-fee-before-the-session\">I will pay the session fee before the session.                                                                                                                                                                                                                                                                                                                                                                       <\/label><input id=\"checkbox-i-will-participate-the-group-session-in-japanese\" type=\"checkbox\" name=\"field-checkbox[value][]\" value=\"I will participate the group session in Japanese. \" class=\"checkbox\">\n\t\t\t\t<label class=\"coblocks-checkbox-label\" for=\"checkbox-i-will-participate-the-group-session-in-japanese\">I will participate the group session in Japanese. <\/label><input id=\"checkbox-i-will-participate-the-group-session-in-english\" type=\"checkbox\" name=\"field-checkbox[value][]\" value=\"I will participate the group session in English. \" class=\"checkbox\">\n\t\t\t\t<label class=\"coblocks-checkbox-label\" for=\"checkbox-i-will-participate-the-group-session-in-english\">I will participate the group session in English. <\/label><\/div><\/div>\n\n\n\t\t<div class=\"coblocks-form__submit wp-block-button\">\n\t\t\t<button type=\"submit\" class=\"wp-block-button__link\" style=\"\">Sign-Up<\/button>\n\t\t\t<input type=\"hidden\" id=\"form-submit\" name=\"form-submit\" value=\"c5db0d9512\" \/><input type=\"hidden\" name=\"_wp_http_referer\" value=\"\/en\/wp-json\/wp\/v2\/pages\/2335\" \/>\t\t\t<input type=\"hidden\" name=\"action\" value=\"coblocks-form-submit\">\n\n\t\t\t\t\t<\/div>\n\n\t\t\n\n\n<p>*You will receive the confirmation email with the Payment Information and Microsoft Teams link from <a href=\"miyakohypno@outlook.com\" data-type=\"link\" data-id=\"miyakohypno@outlook.com\">miyakohypno@outlook.com<\/a>. Please check your junk or spam folder if you don\u2019t see it in your inbox. If the email doesn&#8217;t arrive, feel free to contact me at (619) 818-2615.<\/p>\n\n\n\n<div style=\"height:26px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n<\/div>\n\t\t\t\t<input class=\"coblocks-field verify\" aria-label=\"Enter your email address to verify\" type=\"email\" name=\"coblocks-verify-email\" autocomplete=\"off\" placeholder=\"Email\" tabindex=\"-1\">\n\t\t\t\t<input type=\"hidden\" name=\"form-hash\" value=\"dae53e5df71465ea6713e643da69c85c1cf04c66\">\n\n\t\t\t\t\t\t\t<\/form>\n\n\t\t<\/div>\n\n\t\t\n\n<div class=\"aligncenter is-style-default wp-block-site-logo\"><a href=\"https:\/\/miyakohypno.com\/en\/\" class=\"custom-logo-link\" rel=\"home\"><img fetchpriority=\"high\" decoding=\"async\" width=\"250\" height=\"250\" src=\"https:\/\/miyakohypno.com\/wp-content\/uploads\/2026\/03\/Calm-Within_SVG_512x512-1.svg\" class=\"custom-logo\" alt=\"Calm Within Hypnotherapy\" \/><\/a><\/div>","protected":false},"excerpt":{"rendered":"","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_angie_page":false,"_coblocks_attr":"","_coblocks_dimensions":"","_coblocks_responsive_height":"","_coblocks_accordion_ie_support":"","footnotes":""},"class_list":["post-2335","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/miyakohypno.com\/en\/wp-json\/wp\/v2\/pages\/2335","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/miyakohypno.com\/en\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/miyakohypno.com\/en\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/miyakohypno.com\/en\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/miyakohypno.com\/en\/wp-json\/wp\/v2\/comments?post=2335"}],"version-history":[{"count":36,"href":"https:\/\/miyakohypno.com\/en\/wp-json\/wp\/v2\/pages\/2335\/revisions"}],"predecessor-version":[{"id":3015,"href":"https:\/\/miyakohypno.com\/en\/wp-json\/wp\/v2\/pages\/2335\/revisions\/3015"}],"wp:attachment":[{"href":"https:\/\/miyakohypno.com\/en\/wp-json\/wp\/v2\/media?parent=2335"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}