• I declare that all information supplied above is correct.

• I give permission for Hypnotension to verify the status of my qualifications with the relevant awarding body and/or to seek character references.

• I undertake to maintain adequate insurance in respect of professional indemnity and public liability.

• I declare that I meet all legal requirements for practice in my country, and do not have any criminal record or other indictment which would prevent me ethically practising.

• I understand that membership can be declined or terminated at any time by Hypnotension.

• I have read and agree to the terms and conditions