NLP Malaysia
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Wisdom Hunter Academy

NLP Practitioner Certification Registration Form

Thank you for registering for the NLP Practitioner Certification with Wisdom Hunter Academy.

This form helps us prepare your certificate, learning experience, meals, and safety arrangements. All personal and health-related information will be treated with care and confidentiality.

Our intention is to create a safe, respectful, and meaningful learning environment for every participant.

Participant Personal Details

Please enter the details we need for registration and communication.

1

Emergency Contact

Someone we may contact if support is needed during the program.

2

Food & Dietary Requirements

This helps us prepare meals more carefully.

3
Do you have any food allergies? *

Health & Safety Information

Shared only to help us support you safely during the program.

4
Do you have any medical condition, allergy, or physical limitation that the organiser should be aware of? *

Examples: asthma, heart condition, high blood pressure, diabetes, epilepsy, pregnancy, recent surgery, injury, medication allergy, food allergy.

Are you currently on any medication that may affect your participation?

Emotional / Psychological Wellbeing

This is collected with care and confidentiality.

5
Do you have any current psychological, emotional, or mental health condition that may affect your learning experience or participation? *

Examples: anxiety, panic attacks, depression, trauma history, high stress, emotional sensitivity, or currently receiving therapy/counselling.

This information will be treated with confidentiality and is collected only to help us provide a safe and supportive learning environment. NLP training is educational and developmental in nature, and is not a replacement for medical, psychological, or psychiatric treatment.

Learning Intention

Your intention helps the trainer understand how to support your learning.

6
Have you attended any NLP, coaching, counselling, psychology, or personal development training before?

Certificate Details

Please check spelling carefully. This is used for certificate preparation.

7

Photo & Video Consent

Choose the option that feels comfortable for you.

8

During the NLP Practitioner Certification program, photos and videos may be taken for documentation, learning highlights, and promotional purposes.

By signing this form, I agree that Wisdom Hunter Academy may use photos and videos taken during the event on platforms such as Facebook, Instagram, TikTok, LinkedIn, website, brochures, and other official marketing materials.

I understand that Wisdom Hunter Academy will use the materials respectfully and professionally, without misrepresenting me or the learning experience.

Participant Commitment Declaration

Please read this carefully before submitting.

9

I understand that NLP Practitioner Certification is an experiential learning program that requires active participation, openness, reflection, and respectful communication.

By joining this program, I agree to:

  1. Attend the full training sessions punctually.
  2. Participate with an open mind and a respectful attitude.
  3. Take responsibility for my own learning, emotions, and personal growth.
  4. Respect the privacy and sharing of other participants.
  5. Avoid recording, sharing, or distributing personal stories shared by others during the training.
  6. Inform the trainer or organiser if I feel uncomfortable, unwell, or need support during the program.
  7. Understand that NLP is a practical skill for awareness, communication, and personal development, not a replacement for medical or psychological treatment.
  8. Use the skills learned ethically, responsibly, and with respect for others.

Final Declaration

One last check before submission.

10

I declare that the information provided is true and accurate to the best of my knowledge. I understand that the organiser will use this information for registration, training preparation, safety, meal arrangement, certification, and communication purposes.

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