Meditation Evening Intake Form and Disclaimer

    Do you have any of the following :-

    If you answered Yes to any of the above, please give further details:

    Please do not attend your session if you have any cold or flu symptoms, temperature or generally feel unwell.


    Acknowledgement of Risks and Responsibilities:


    PLEASE READ AND ACKNOWLEDGE THE FOLLOWING:


    -I understand doors will be open from 6.30pm and locked at 6.40pm as the session will begin promptly. To maintain the flow and ensure a peaceful environment, I agree to arrive on time.
    - I understand I will not be admitted after the session starts.
    - I understand I need to bring a yoga mat, blanket, cushion and anything else I might need to be comfortable lying on the floor for approx 1 hour.
    - I understand that this is a sober space and I agree to respect these boundaries.
    - I understand that this is a trauma-informed space and that some emotions or memories may come up for me during the session.
    - I acknowledge that I am responsible for my own emotional and physical well-being throughout the session and after.
    - I understand that this session is not a substitute for medical or psychological treatment.
    - I agree to seek appropriate support if difficult emotions arise and I will inform the facilitator if I need additional support during the session.
    - I understand that this is a fragrance-free space. To ensure everyone's comfort I will refrain from wearing perfumes, colognes, or other strong scents during the session.


    By submitting this form, I declare that I have read and understand the Risks and Responsibilities. I acknowledge that I am voluntarily participating in a Guided Meditation and Sound Therapy session. I release the facilitator(s) and any affiliated parties from any liability for injuries, emotional distress, or any other negative effects that may arise as a result of this session. I declare the information I have given is correct and, as far as I am aware, I can attend without any adverse effects.

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