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Training & practice Level 1 Foundation training Level 2 Intermediate training Level 2 Intermediate Development and Integration Groups Level 2 Intermediate Residential workshops with movement and dance

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Home Training & practice Training & practice Level 1 Foundation training Level 2 Intermediate training Level 2 Intermediate Development and Integration Groups Level 2 Intermediate Residential workshops with movement and dance NVC coaching Movement & dance About Cath Resources

Nonviolent Communication training, practice, one to one and couples support

Contact

Before we begin working together I ask that you complete and sign the form below.

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By working with me you agree to the following statements. Please tick each box to show you have read and agree to them.

Cath's services are for NVC Coaching, facilitated conversations, conflict resolution or educational purposes

Her services are not in any way diagnostic, nor a substitute for medical care where needed

You take full responsibility for any actions you choose as a result of working together

What you share will remain private and confidential to the extent permissible by law

You agree to paying the full agreed fee for the session unless 24 hours notice is given for cancellation

You agree to pay the fee before the session unless otherwise agreed

You agree to being attentive to reflecting and open to learning and let me know if any strategies were not effective for you

Data Protection

Any registration information and session notes are stored electronically encrypted on my computer. You can request complete copies of the records I hold, at any time. I will keep the content of our sessions and your personal details and data, private, to the extent permissible by law. You can read my privacy policy and terms and conditions at https://www.empathymatters.net

Safeguarding

As with all my clients if I think a child is at risk of harm or your life is in danger, I would firstly speak to you about my concerns. If I continued to be concerned, I would refer my concerns onward to a relevant contact (which could be a legal authority if my concerns escalated or it was my legal duty), for extra support.

I understand that disclosures during a facilitated dialogue maybe made for the purpose of attempting to reach an agreement and on the basis that they are confidential. This means they are without prejudice and legally privileged and will NOT be referred to in evidence in any formal process or legal proceedings about the same issues. Any disclosure or content of the conversation will not be used in affidavits or statements. Please tick below to acknowledge that you agree to the above statement.

I understand and agree to the above statement

I will not call Cath Burke as a witness, nor require her to produce in evidence of any records or notes relating to facilitated dialogue sessions, in any litigation or other formal or informal legal process arising from or in connection with the issues being considered. If a court or tribunal orders the mediator to give evidence, attend court or disclose documents, you will fully indemnify Cath Burke in respect of any costs, fees or expenses, including legal costs, incurred in resisting or responding to such an application.

I understand and agree to the above statement

Is there anything else you want me to know?

Thank you for submitting your agreement!

I look forward to working with you.

Cath

United Kingdom

07847 828 636 info@empathymatters.net

Hours

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