This form confirms that you have completed your session with James Kerby as of the date of the form. Register and SignUp Page Your Sessions with James Kerby Client Registration Form v1 Sessions logging. 1 Contact DetailsName* First Last Please enter your name so we can address our responses correctlyEmail* Enter Email Confirm Email we ask you to check that it has been entered correctly so we can send your acknowledgement and reply swiftly and accurately.Date of My session* DD dash MM dash YYYY Date of Session with James.Session No*Please enter a number from 1 to 36.Enter the session number just completed.Of Total Sessions*Please enter a number from 1 to 36.How many Sessions in total so for example Session 11 of 12 etc.Consent to Privacy Policy* I agree to the privacy policy.I agree to the Privacy Policy an that Viridian and James Kerby may store this information in order to track and record the PT Sessions I have had with James.Confirm Session Received* I confirm Session Completed as of Date SignedConfirm I have completed 1 session with James as of Today's Date and as signed on this form.NameThis field is for validation purposes and should be left unchanged.