Liability Release
By signing this form, I, the participant, hereby release Cleopatra Aneroussou (Licensed Hypnotherapist & Coach) and Desi Kutsarova (Embodiment & Energy Facilitator) from any liability or claims that could be made against them concerning my mental, emotional, or physical well-being during or after participation in the Releasing Control workshop.
I understand that this event includes guided hypnotherapy, regression-based emotional work, and movement-based energy practices, and I take full responsibility for my own participation and level of engagement.
Scope of Practice
I understand that the practices offered by Cleopatra Aneroussou and Desi Kutsarova are complementary, holistic modalities and do not replace medical, psychological, or psychiatric treatment.
Hypnosis and embodiment practices should not be used as substitutes for care from a licensed physician, psychologist, or psychotherapist.
Individuals diagnosed with epilepsy or psychotic illnesses (such as schizophrenia or bipolar disorder with psychotic features) should not participate in Hypnosis nor Mandala.
If I am uncertain whether hypnosis or Mandala is appropriate for me, I understand it is my responsibility to consult my physician before registering or attending.
I understand that while hypnotherapy and embodiment practices can be profoundly effective, no specific outcomes or results can be guaranteed.
My progress depends on my own openness, participation, and willingness to integrate the experience after the workshop.
Confidentiality
All personal information and experiences shared during this workshop are strictly confidential and will not be disclosed to any third party without consent, except in cases where disclosure is legally required (such as risk of harm to self or others, or abuse of a child or vulnerable adult).
Both facilitators are committed to creating a safe, respectful, and trauma-informed environment.
Privacy & Data Use
I understand that my name, email address, and contact information are collected for the purposes of event registration, communication, and follow-up.
By signing this form, I consent to being added to the contact list of Cleopatra (Cleo) Aneroussou and Desi Kutsarova, and to being contacted with relevant materials, recordings, integration guidance, and information about future workshops, retreats, and courses that may be of interest to me.
My personal data will remain strictly confidential and will never be sold or shared with third parties.
I understand that I may unsubscribe or request removal from the contact list at any time by replying to any email or contacting the facilitators directly.
Audio & Visual Recordings
I understand that certain portions of the workshop may be audio-recorded (for example, the guided hypnotherapy session), and that such recordings are the intellectual property of Cleopatra Aneroussou.
If a personalized audio recording is shared with me, I may use it for personal self-development only.
I acknowledge that photographs and short video clips may be taken during the workshop by Cleopatra (Cleo) Aneroussou and Desi Kutsarova or their team, for the purpose of marketing, promotion, and documentation of future events.
By signing this form, I grant full permission for my image, voice, and likeness to appear in promotional materials, social media posts, and marketing content created by the facilitators, without expectation of compensation.
I understand that images will always be used respectfully, in alignment with the spirit and integrity of the workshop.
If I prefer not to appear in photos or videos, I agree to inform the facilitators before the workshop begins, and every effort will be made to exclude me from all visual material.
Cancellation & Refund Policy
All bookings are non-refundable.
Signature & Electronic Consent
By signing this document or form with an electronic signature, I agree that such signature will be as valid and legally binding as a handwritten signature, and will be considered an original to the extent allowed by applicable law.