For Participation in retreats with Stina and Stina Leigh Practice LLC, included but not limited to, breathwork, meditations, personal development, yoga, fitness and nutrition.
I, the undersigned, acknowledge that I have voluntarily chosen to participate in a retreat facilitated by Stina Leigh. (“Facilitator”). I understand that retreats may involve physical, emotional, and psychological components, and I affirm that I am participating voluntarily and at my own risk.
1. Acknowledgment of Risk
I understand that while retreats are generally safe, it may bring up emotional discomfort or physical sensations. I confirm that I am physically, mentally, and emotionally capable of participating in these sessions. I agree to notify the Facilitator of any relevant medical or mental health conditions prior to participation.
2. Release of Liability
In consideration of being permitted to participate, I, on behalf of myself, my heirs, assigns, and personal representatives, hereby release, indemnify, and hold harmless the Facilitator and their employees, contractors, agents, or representatives from any and all liability for any harm, injury, damage, or loss (including but not limited to physical, emotional, or psychological harm) I may suffer arising from or in connection with my participation in the sessions, whether caused by negligence or otherwise.
3. Not Medical or Psychological Treatment
I understand that any retreat sessions offered are not a substitute for medical or psychological diagnosis or treatment. I agree to seek professional care for any physical or mental health issues and understand that the Facilitator is not acting in the capacity of a licensed medical doctor, psychologist, or other licensed health professional.
4. Confidentiality
I understand that my personal information will be kept confidential unless I give written consent to share it or if required by law. The Facilitator agrees to uphold client confidentiality to the best of their ability.