Thank you so much for choosing to journey together in this sacred space of connection and transformation. These sessions may include guided meditation, breathwork, and couples embodiment practices designed to support emotional intimacy, communication, and soulful reconnection.
Please read the following and sign to indicate your understanding and consent.
✧ Participation & Responsibility
I/we understand that:
• All practices offered are voluntary, and I/we are welcome to pause or stop at any time.
• Meditation, breathwork, and embodiment practices can bring up emotional or physical responses; this is a natural part of the healing and integration journey.
• I/we are responsible for tuning into our own needs, boundaries, and body wisdom throughout the session.
✧ Health & Medical Disclosure
I/we confirm that:
• I/we have disclosed any relevant physical, mental, or emotional conditions that may impact participation.
• I/we do not have any conditions that would prevent us from safely participating—or if we do, we accept full responsibility for our decision to participate.
• These sessions are not a replacement for medical, psychological, or psychiatric care.
✧ Consent & Liability Release
I/we acknowledge that:
• The facilitator is not acting in the capacity of a licensed medical or mental health professional.
• I/we release the facilitator and Temple of Her Moon from any liability for injuries or outcomes resulting from participation.
• I/we enter into this container with open hearts and full personal responsibility.
✧ Confidentiality & Respect
I/we agree to:
• Honor the confidentiality of the session and any personal shares between us or with the facilitator.
• Treat each other, your facilitator and the space with gentleness, respect, and non-judgment.
✧ Cancellation Policy
• A minimum of 24 hours’ notice is required to cancel or reschedule a session.
• Cancellations made with less than 24 hours’ notice will incur the full session fee, as your time has been lovingly held for you.
• Exceptions may be made in the case of emergencies, at the discretion of the facilitator.
