Participant Informed Consent

Retreat Title: Women’s Inner Child Retreat
Facilitator: Celina Low Jones
Date of Retreat: October 25, 2025
Location: Skypond 118 Rocky Rd, Apex, NC 27523

Thank you for your interest in participating in this one-day wellness retreat. The purpose of this retreat is to support personal insight, self-awareness, reflection, and relaxation through guided breath meditation, gentle qigong movement, sound bath, and related practices.

Please read the following carefully before clicking the SUBMIT button.

1. Voluntary Participation
   I understand that my participation in this retreat is entirely voluntary. I affirm that I choose to participate freely and may decline or discontinue participation at any time.

2. Nature of the Activities
   I understand that the retreat involves physical movement (including gentle poses and energising dance), stillness practices (such as breath meditation), and exposure to sound-based modalities (such as sound bowls). These activities are spiritual and contemplative in nature and are not intended to diagnose, treat, or cure any medical or psychological condition.

3. No Medical Advice or Treatment
   I acknowledge that the facilitator is not acting as a licensed medical professional, and no medical, psychological, or therapeutic advice or services are being provided. This retreat does not substitute for medical or psychological treatment or diagnosis. If I have any concerns about my physical or mental health, I agree to consult with an appropriate licensed professional prior to participating.

4. Assumption of Risk
   I understand that, as with any activity involving movement or personal introspection, there may be risks involved. I affirm that I am in sufficiently good health to participate and assume full responsibility for any personal injury, discomfort, or adverse reaction that may arise from my participation.

5. Liability Waiver
   In consideration for being allowed to participate, I hereby release, waive, and discharge the facilitator and any assistants, volunteers, or the hosting venue from any and all liability, claims, demands, or causes of action related to any loss, injury, or damage that may arise from my participation, except in cases of gross negligence or willful misconduct.

6. Refund Policy

   I acknowledge that no refund will be provided unless otherwise stated, and conditional upon my submission of a formal letter from a licensed medical professional should I request a refund. I understand that I may however, find a replacement to participate in the retreat, and that the participant is bound by the terms of this agreement.

7. Confidentiality
   I understand that any personal sharing by participants during the retreat is voluntary and should be treated with respect and confidentiality by all attendees.

By submitting this online registration form to participate in the retreat, I confirm that I have read and understood this agreement, and I agree to the terms outlined above.