LUMINOSA: Consent, Intent, Liability & Medical
  • PLEASE READ THROUGH THE FORM CAREFULLY & IN FULL PRESENCE.

  • °✩𓍊𓋼𓍊Important: Medicine Presence𓋼𓍊✧˖ °

    Participation with sacred medicine is optional and always a personal choice, but all attendees must be aware that sacred mushrooms will be part of the field.

    This is not a 'party' space....

    A SACRED & JOYFUL CONTAINER

    Luminosa is an embodiment immersion rooted in ritual, reverence, and intentional play. While we move, celebrate, and awaken together, this is not a “party” space.

    This is for all women.

    This is a sacred, feminine immersion , not a recreational experience. We approach the medicine, the movement, and each other with maturity, discretion, and respect.

    Joy is welcome. Laughter is welcome. Celebration is welcome.

    Disrespect, judgment, or disruptive behavior are not.

    We are weaving the worlds of feminine healing with dance, ritual, play and sacred medicine. This invites us into community,  into a field where we support one another’s healing and expansion within a safe, loving, and sovereign container.

    Come playful.  Come open.  Come reverent. Come ready.

     

    THE SCOPE:

    After four years of quiet hibernation, LUMINOSA is the immersion women still feel in their bones & still speak about!

    A signature fusion of medicine and movement, Luminosa has sparked deep healing, womb awakenings, and the ignition of Shakti within the body’s own luminous current.

    Luminosa is:

    • A 4 hour guided ritual and ceremonial embodiment immersion
    • A headphone-facilitated somatic journey
    • A ritualized feminine awakening & activation container
    • A facilitated environment with optional, small dose, mushroom enhancement
    • A sisterhood-based ceremonial field

    It is designed to support:

    • Nervous system awareness
    • Embodied emotional processing
    • Feminine energy activation
    • Ritual devotion + play
    • Personal insight and inner exploration

    Guided by pranic breath patterns and intertwined with sacred movement sequences, we kindle the inner fire, progressing into a dance that unfolds as an ecstatic reunion of head, heart, and root. In this harmonious convergence, we find ourselves returning home to the embodiment of our pure soul essence.

    What to Expect:
    - Holistic Brew 
    - Sacred plant medicines
    - Personal headphones to stay deeply connected to the experience & take you on a magical surrendering
    - Tantric & Womb Healing practices
    - Ancient Embodiment Techniques
    - Ecstatic & Intuitive movements
    - Individual healings
    - A gathering of beautiful sacred sisterhood & building a support system
    - Interactive & intentional rituals

     °✩𓍊𓋼𓍊𓋼𓍊✧˖ °°✩𓍊𓋼𓍊𓋼𓍊✧˖ °

  • CONTACT INFORMATION & EMERGENCY CONTACT

  • PARTICIPANT MEDICAL INFORMATION FORM

    Sitting in ceremony with Psilocybin can be deeply healing for the mind, body, and spirit. When sitting with this sacred medicine, it is important that your physical body and mind are in right relation to experience it’s gifts and wisdom safely. The questions below are to ensure that you are in alignment at this time to receive the medicine. If you have any concerns about whether you should participate, please connect with me before attending via email at MOTHERTREEMEDICINE@GMAIL.COM . Participants must answer the following questions honestly to evaluate your ability to attend any plant medicine ceremony: Luminosa or Emergence. Failure to disclose any medical condition or medication can result in less than ideal conditions for the participant and you assume full liability for yourself in this instance.
  • Please answer the following questions as completely and honestly as possible. Your responses will remain strictly confidential.

  • CONSENT & LIABILITY WAIVER

    This consent form is required for every woman entering the Luminosa container, whether or not you choose to work with the mushrooms.
  • Assumption of Risk, Release & Informed Consent
    I acknowledge that participation in Luminosa, Emergence, or any retreat or ceremony hosted by Monica Hickey/Guerreiro involving psilocybin (the “Ceremony”) may involve physical, mental, emotional, or spiritual intensity, discomfort, or unexpected effects.

    I confirm that I am at least 18 years of age and am voluntarily choosing to participate.

    Nature of the Ceremony
    I understand that participation in this Ceremony may include the ingestion of psilocybin (a naturally occurring psychoactive mushroom/entheogen).

    I acknowledge that I have been informed of the intended purpose of the Ceremony and the possible physical, emotional, and psychological effects. I confirm that I am choosing to participate of my own free will following my own research and personal interest.


    Medical & Psychological Responsibility
    I understand that psilocybin may not be appropriate for individuals with certain medical or psychiatric conditions, including but not limited to a history of psychosis, schizophrenia, bipolar disorder, severe anxiety disorders, or heart conditions.

    I confirm that I have disclosed all relevant medical, psychological, and medication information on my intake form. I understand that certain medications (including SSRIs, MAOIs, stimulants, and other prescriptions) may interact with psilocybin.

    I accept full responsibility for consulting with a licensed medical professional if I have any uncertainty regarding my eligibility.


    Possible Effects
    I understand that I may experience:

    • Nausea, dizziness, cramping, or physical discomfort
    • Emotional intensity or release
    • Altered perception or temporary disorientation
    • Psychological or spiritual experiences that may feel challenging

    I knowingly and voluntarily assume full responsibility for any physical, emotional, or psychological responses that may arise, whether anticipated or unanticipated.


    Voluntary Participation & Conduct
    I understand that my participation is entirely voluntary. I agree to remain for the duration of the Ceremony unless otherwise directed by facilitators for safety reasons.

    I agree to:

    • Respect all participants
    • Maintain confidentiality and discretion regarding others’ experiences
    • Follow the guidance of the facilitators and assistants
    • Refrain from judgmental, disruptive, or disrespectful behavior

    I understand that unsafe or inappropriate behavior may result in removal from the Ceremony without refund.


    Transportation
    I agree to arrange safe transportation to and from Lokah Yoga and understand that I may not operate a vehicle following the Ceremony.


    No Medical Claims
    I understand that the Ceremony is not a substitute for medical, psychiatric, or psychological care. No claims are made regarding the curing of illness or the nature of any spiritual experience, which I understand to be personal and subjective.


    Release of Liability
    I knowingly and voluntarily assume full responsibility for all risks associated with my participation.

    I hereby release, waive, discharge, and hold harmless:

    Monica Hickey/Guerreiro, Lokah Yoga, assistant guides, helpers, associates, volunteers, staff, agents, employees, successors, heirs, and other participants from any and all claims, liabilities, demands, damages, or causes of action arising from my participation.

    I further agree to indemnify and defend them from any claims or actions brought as a result of my participation.

    This agreement is binding upon myself, my heirs, executors, administrators, and assigns.

      

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