Register for the 2021 Advanced
Family Constellations Facilitator Training Program

To register by mail:
Download and print both the registration and release. Most computers should be able to work with either PDF or DOC format documents. If yours does not, you may need to install Adobe’s free PDF reader. You may need to right-click and select Save As with the links below, then open the files in Word or Adobe Reader.

• PDF format: 2021 registration form AND 2021 release form, or
• Word DOC format: 2021 registration form AND 2021 release form.

Please read the text on this page, check the box at the bottom of the page indicating you have read this page and agree to its terms, then click the Next button to proceed to enter your billing information.

Cancellation and Refund Agreement

I understand that I have a one-time option to discontinue the training within 5 days after participation in the first training weekend and receive a refund for any monies paid ahead for the remaining weekends. If I find it necessary to discontinue my participation at a later time, I will not receive a refund and I agree to pay the full year tuition whether or not I finish the training. I understand I will be entitled to participate in future training in Hellinger Family Constellations for the prepaid sessions missed at no additional charge. I understand that all cancellation requests must be made in writing; phone cancellations will not be honored.

Release – 2021 HIDC Advanced Training

All trainees’ attendees are requested to read the below text in order to participate. I understand that this training may bring up issues of a highly personal nature that may cause me to experience emotional or physical responses that may be unexpected and/or unpleasant. Further, I understand that I may experience mental, emotional, physical, or spiritual distress and that such distress may also cause unpleasant symptoms. What is experienced in this training may create physical manifestations on my part or on the parts of other participants; I understand that there is risk of accident, injury, and emotional distress. I agree to assume this risk, including but not limited to the types of responses and manifestations described. I confirm that I do not currently suffer from any mental or physical impairment, and have not been diagnosed in the past with any disorder, condition, or injury, either physical or mental, that might make it unadvisable for me to assume such risks.

I agree to respect the confidentiality of any disclosure made within the course of this training and will not discuss any details of the work outside the meeting space.

This training is not designed as a substitute for therapy or as a substitute for any other professional consultation. It is designed as an education venue only.

By checking the box below, I acknowledge that I willingly agree to hold harmless and release from all liability the organizers, facilitators, and participants in this workshop, including Susan Ulfelder, Lynne Miller, the Hellinger Institute of DC, and the facility where the workshop is being offered.