Return to Self - Waiver and Informed Consent

Nature of the Experience

I understand that Return to Self offers music-supported Kundalini Activation experiences intended for relaxation, nervous system regulation, emotional release, self-awareness, and personal growth.

These sessions are not medical treatment, psychotherapy, counseling, or a substitute for professional healthcare.

Voluntary Participation

I understand that participation is voluntary.

I may pause, ask questions, or stop the session at any time.

Health Responsibility

I confirm that I have disclosed any significant medical, neurological, psychiatric, or other health conditions that may affect my participation.

If I have concerns about participating, I will consult my healthcare provider before attending.

No Guaranteed Results

I understand that every person's experience is unique and that no specific outcome or result is guaranteed.

Release of Liability

To the fullest extent permitted by law, I voluntarily assume responsibility for my participation and release Return to Self, Samina Mujtaba, and any associated venues from liability for injuries, losses, or damages arising from my participation, except where caused by gross negligence or willful misconduct.

Confidentiality

Group participants are expected to respect the privacy of others. Personal experiences shared during a session should remain confidential.

Photography

Consent

I have read and understood this waiver. I understand the nature of the experience and choose to participate voluntarily.

Participant Name: ________________________

Signature: ________________________

Date: ________________________