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Signed & & & & & .& & & & & & & & & & & & & & & & Print name & & & & & & & & & & & & & & & .. Name Date of Birth Address Referrer s address Criteria for success Relevant background information Parental/Carer s consent: Neuro-Linguistic Programming [NLP] is a leading edge approach to understanding how w e learn, communicate and behave. Based on what works best , NLP provides me with a range of specific and practical techniques to help young people overcome any difficulties they may be experiencing . Sometimes I may offer simple relaxation techniques or hypnotherapy if I think it may help. I understand the above statement and give my permission for & & & & & & & & & & & & & & & & & ... to attend sessions at ACHIEVE . Signed& & & & & & & & & & & & & & & & .. Print name& & & & & & & & & & & & & .. Family/carer s contact telephone number Family/carer s contact name Referrer s name Referrer s contact telephone number 7 "$&(*XpPJTp  Nz|j l P ""m~&""m~ " "m~" (*XHJRTnp  LNxLB>B>B>B>B>B>B>  "  "| "|"  "!"  "PS" * "|" $  " ," $ - ." 2 "" $ ." * ""$ , "D[$ ." 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