Participant Consent & Acknowledgment Form

Nature of the Offering

Sound meditation and energy-based practices are designed to support relaxation, nervous system regulation, and self-awareness. These sessions use instruments, frequencies, and periods of silence to encourage inner balance and release tension. While many people find the experience deeply restorative, this work is not a replacement for medical or psychological treatment.

Emotional and Physical Responses

Sound and energy work can sometimes bring up emotional or physical sensations as the body releases stored energy. You may experience calm, lightness, or emotional release such as tears, warmth, or tingling. These responses are natural and temporary. You are encouraged to move, breathe, or pause at any time during the session to stay comfortable.

Mental Health and Medical Considerations

If you are currently under psychiatric care or experiencing significant mental distress, please make informed decisions by talking to your healthcare provider before intending. Likewise, those with medical devices such as pacemakers, sound sensitivity, epilepsy, tinnitus, recent head injuries, or pregnancy should check with their healthcare provider before attending.

Contraindications

Participation is not advised for individuals with:

  • Pacemakers or implanted electrical devices

  • Severe tinnitus or sound-triggered migraines

  • Recent major surgery, concussion, or traumatic brain injury

  • Uncontrolled epilepsy or seizure disorders

  • Current substance intoxication

If any of these apply to you, please consult your doctor before joining.

Personal Responsibility

By attending, you acknowledge that you are responsible for your own wellbeing during and after the session. You may choose to pause, move, or leave quietly at any time. Earth Tones Healing LLC does not diagnose, treat, or prescribe for any medical or mental health condition.

Release of Liability

By participating in this session, I understand that I am engaging in a relaxation and sound meditation-based experience offered by Earth Tones Healing LLC. I take full responsibility for my physical, emotional, and mental wellbeing during and after the session. I agree not to hold Earth Tones Healing LLC, its owners, or affiliates liable for any outcomes or reactions that may occur as part of my participation.