Please read this in full. It keeps everyone safe and clear. Scroll to the end, then sign below.
1. The nature of this work & voluntary participation
Emotional Release Therapy (ERT) is an experiential practice that may involve deep emotional processing and gentle, hands-on bodywork. I am choosing to take part of my own free will because I believe it may benefit me. I understand I may pause, step out, or decline any part of the work at any time.
2. Assumption of risk
I understand that emotional-release work can bring up strong feelings, memories, and physical sensations, and that hands-on bodywork may result in superficial bruising, tenderness, or short-term muscle soreness. I knowingly and voluntarily accept these and any other risks — known or unknown — that may arise from my participation.
3. Not a substitute for medical or mental-health care
I understand that ERT is not medical treatment, psychotherapy, or a diagnosis, and that Pat Jackman, Kamala Crompton, and any assisting facilitators are not acting as my physician, psychologist, or licensed therapist. This work does not replace professional medical or mental-health care. I am responsible for seeking and continuing any care I need.
4. My health & personal responsibility
I have disclosed above any physical, emotional, or psychological condition relevant to my participation. I confirm I am participating at my own discretion, and I am solely responsible for my own health and safety throughout.
5. Release of liability & covenant not to sue
To the fullest extent permitted by law, I release, waive, and discharge Pat Jackman, Kamala Crompton, all facilitators, assistants, and organizers, and the owners of any property where the work is held (the "Released Parties"), from any and all claims, demands, liabilities, or causes of action for any loss, injury, illness, emotional distress, or damage arising out of or connected to my participation — including any exacerbation of a pre-existing or undiscovered condition. I agree not to bring any claim or lawsuit against the Released Parties for any such matter.
6. Indemnification
I agree to indemnify and hold harmless the Released Parties from any claims brought by me or on my behalf arising out of my participation, including reasonable attorneys' fees.
7. Confidentiality of the circle
To protect the trust of the group, I agree to keep confidential the identities and personal sharing of other participants, and I understand others are asked to do the same for me.
8. Sacred-space agreements
To keep the space safe and clear, I agree to abstain from alcohol and other drugs for the duration of the retreat or module, and I agree not to engage in sexual activity with other participants during the program.
9. Emergency care
In the event of a medical emergency, I consent to the organizers taking reasonable steps to secure emergency medical care on my behalf, and I accept responsibility for the cost of any such care.
10. Entire agreement, severability & governing law
This agreement is the entire understanding between me and the Released Parties regarding these matters and is binding on my heirs and representatives. If any part is found unenforceable, the remainder stays in full effect. This agreement is governed by the laws of the State of California. I have read this document, I understand it, and I sign it freely.
↑ Please scroll through the full agreement before signing.
