Lightway Explorer Intake
  • Lightway Explorer Intake

    Thank you for taking the time to share your intentions.This intake helps us understand where you are, what you’re navigating, and whether Lightway is an aligned container for your preparation, integration, or ongoing support.Please answer thoughtfully and honestly. All responses are confidential and reviewed with care.
  • Contact & Location

  • Format: (000) 000-0000.
  • Date of Birth*
     - -
  • Service Background

  • Professional Background*
  • Family / Relationship to Service

  • Are you a spouse, partner, or immediate family member of a service member or first responder?*
  • Experience Interest & Timing

  • Current Circumstances & Support

  • Reflection, Readiness & Agreement

  • ✺ Disclosure, Responsibility & Liability Agreement

    By participating in Lightway offerings, you acknowledge and agree to the following:


    Nature of Services
    Lightway provides experiences and support intended for personal growth, contemplative exploration, and spiritual development.

    These offerings are not medical, psychological, or psychiatric services.

    Lightway does not diagnose, treat, cure, or prevent any medical or mental health condition.


    Not a Substitute for Professional Care
    Lightway is not a substitute for medical, psychological, or psychiatric care.

    You are encouraged to maintain appropriate relationships with licensed healthcare providers and to consult them for any medical or mental health concerns.

    If you are experiencing a medical or mental health emergency, you agree to seek appropriate professional care immediately.


    Personal Responsibility
    You understand that participation in Lightway offerings is voluntary and undertaken at your own discretion.

    You agree to take full responsibility for your physical, mental, emotional, and spiritual well-being before, during, and after your participation.

    You agree to communicate openly and honestly about anything relevant to your safety or experience.


    Discernment & Readiness
    Certain offerings, including ceremonial or medicine-related work, are available only by inquiry and may require additional preparation, screening, and integration support.

    Lightway reserves the right to decline, postpone, or pause participation if alignment, readiness, or safety concerns arise.


    Assumption of Risk
    You understand that this work may involve emotional, psychological, and physical experiences that can be intense or unexpected.

    By participating, you voluntarily assume all risks associated with your involvement.


    Release of Liability
    To the fullest extent permitted by law, you agree to release and hold harmless Lightway, its facilitators, and affiliates from any liability, claims, or damages arising from your participation.


    Acknowledgment
    By proceeding, you confirm that:

    You have read and understood this agreement
    You participate voluntarily and with full personal responsibility
    You understand the nature and scope of Lightway offerings

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