Waiver & Informed Consent

🌿 CARE 🌿

Participation Waiver & Informed Consent

Program Description: Connected And Rooted Everywhere offers guided breathing, meditation, somatic awareness practices, role-playing, and connection-based education. These sessions are designed to support emotional regulation, nervous system awareness, and relationship-building for individuals, families, couples, and local businesses.

​

🚫 Not Therapy – Disclaimer

I understand that these sessions do not constitute psychotherapy, counseling, or medical advice. They are educational in nature and are not a substitute for medical treatment by a licensed professional. If I have current or past mental health diagnoses, trauma history, or medical conditions that may be impacted by breathing or somatic practices, I understand it is my responsibility to consult with a qualified professional prior to participation.

​

🧘 Participation + Consent

I understand that:

• Breathing and mindfulness practices may bring up unexpected emotional or physical sensations.

• Participation is entirely voluntary and I can choose to pause or stop any activity at any time.

• The facilitator will offer tools and language based breathing and meditation techniques incorporating evidence-informed practices like polyvagal theory, co-regulation strategies, and neuroplasticity-based learning.

 

🛡️ Waiver of Liability

In signing this form, I agree to:

• Release and hold harmless Rooted & Regulated, and any associated venues, perosns or collaborators from any and all liability, damages, or injury that may arise from participation.

• Take full responsibility for my physical, emotional, and psychological well-being during and after the sessions.
   

📄 Consent to Participate

By signing below, I acknowledge that I have read, understood, and voluntarily agree to the terms above.

​

https://www.digisigner.com/online-new/showTemplate?linkId=2c94db0a-011d-4d44-b56e-1dbf7d7dc06a

​​