Consent & Release of Liability
Please read carefully and sign this form before participating in a Systemic Constellation workshop or related event.
TERMS OF ATTENDANCE
Confidentiality and Supportive Presence:
As a participant of a Systemic Constellation workshop, thematic module, individual session or any other related event (collectively, “SC Events”), I consent …
– to confidentiality. I will not disclose any information I learn about any other participant without that participant’s explicit permission.
– to using “I” statements. I will share from my own experience and not assume others feel or think the same way I do.
– to being physically present during the entire SC Event, and to be on time at the beginning and after each break.
– to participating fully and being emotionally present as much as possible. I understand that my presence supports all other participants, as their does mine.
– to only sharing positive and supportive comments. I will not engage in trying to “fix” someone else or give advice.
– to not consuming any alcohol or drugs one day before and on the day of the EC Event.
Physical Contact and Movement:
I understand that SC Events may include forms of physical contact and movement.
I consent to being open to light touch during constellations if that will help deepen the process.
I take full responsibility for any associated risks, including emergency medical treatment and associated costs, however unlikely.
Boundaries:
I understand that respecting others and their boundaries is crucial to this work.
If in the opinion of the group leader I create disturbance to others, I may be asked to leave the event without refund or compensation.
RELEASE OF LIABILITY
Physical and Mental Health:
I understand that SC Events may bring up issues of a highly personal nature that may cause me to experience unexpected and/or unpleasant emotional or physical responses.
I understand that I may experience mental, emotional, physical, or spiritual distress, and that such distress may create physical responses on my part or on the part of other participants.
I understand that there is the risk of accident, injury, and emotional distress.
I agree to assume this risk, including but not limited to the types of responses described.
I confirm that I do not suffer from any mental or physical impairment, and have not been diagnosed at any point with a disorder, condition, or injury, either physical or psychological, that might make it inadvisable for me to assume such risks.
I understand that I am fully responsible for taking care of my physical and mental health.
I confirm that for all my physical/medical issues I am receiving appropriate medical attention and treatment.
I confirm that for all my psychological/psychiatric issues I am receiving appropriate psychological, psychiatric, or psychotherapeutic attention and treatment.
Personal Belongings:
I understand that I am fully responsible for the safety of all my personal belongings during all SC Events.
Disclaimer:
I understand that while SC Events may result in direct personal benefit to me, and they can be useful additions to other psychotherapy, counseling or coaching processes, SC Events are one-off events with no follow-up sessions to any of the participants.
No SC Event is a replacement or substitute for therapy or for any other form of professional (e.g. medical, mental health, business, financial, legal, etc.) services.
All SC Events are designed solely for educational and self-developmental purposes.
Therefore, SC Events are NOT being advertised or represented as – and cannot possibly replace – professional psychotherapy, counseling, or treatment for any psychological or physical condition.
Further, SC Events are NOT being advertised or represented as – and cannot possibly replace – professional business, financial, or legal advice.
I understand that any conclusions I reach from participation in any SC Event, and any decisions I make based on these conclusions, are my full and complete responsibility.
I understand that SC Events cannot replace or substitute for the services of trained professionals in any field, including, but not limited to, medical, mental, psychological, financial, business, or legal fields.
Release of Liability:
I hereby agree to release and hold harmless Dr. Anna Fekete and Anna Fekete LLC from and against any claims, damages, liability, or even death arising from or related to any physical or psychological activity in any SC Event.
Under no circumstances will Dr. Anna Fekete and Anna Fekete LLC be held liable for my injury or psychological/medical reaction or death, or any personal or financial or legal decision I make, or any loss or damage of my personal belongings resulting from my participation in a SC Event.
Should I feel the need of any physical or psychological help after a SC Event, I understand that it will be my responsibility to seek appropriate medical and/or mental health treatment.
Should I feel the need of any business, financial, or legal help after a SC Event, I understand that it will be my responsibility to seek appropriate professional advice.
This Consent & Release of Liability remains in effect until revoked by me in writing.