Plant Medicine Yoga Participant

Plant Medicine Yoga Participant

Please read, confirm and acknowledge and agree to the waiver
Agreement and Waiver
Participation is voluntary. I accept full responsibility for my physical, mental, and emotional well-being before, during, and after the session. I understand that cannabis use is optional and may be included as part of a plant medicine practice
I confirm that I am legally permitted to possess and use cannabis and that I am over 19 years of age.
I release Kathy White Yoga, Kathy White, and any assistants, staff, or venue hosts from liability arising from my participation and from my decision to consume or not consume cannabis.
Participation Requirements
If I have little or no experience with cannabis, I will speak with Kathy before attending a group session to discuss whether participation is appropriate and to explore safe, mindful, and responsible approaches
I understand that no cannabis is provided and I am responsible for obtaining my own legal supply, I will arrive sober and that low-dose, intentional use is strongly encouraged
I will make responsible transportation arrangements to and from the session if needed, will not drive under the influence of cannabis
Mental Health Screening
I acknowledge that individuals with a personal history of psychosis, schizophrenia, bipolar disorder involving manic episodes, severe dissociative disorders, or other conditions that may be negatively affected by cannabis should not participate
If I have concerns about my mental health history, I agree to consult an appropriate healthcare professional before participating
Declaration and Signature
- I accept full responsibility for my decision to participate.
- I understand this session is not medical treatment, psychotherapy, or healthcare advice
- I understand that if I do not feel safe or legally fit to drive after the session, I will remain at the venue or arrange alternative transportation until I can do so responsibly
- I do not have any known contraindications to cannabis use that would make participation unsafe
- I will provide my own legally sourced cannabis
- I am over 19
Acknowledgments
By filling in your full name and email address this counts as a legal declaration and electronic signature.
Name

First NameLast Name
Email
example@example.com
Date

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Plant Medicine Yoga Participant

Agreement and Waiver

Participation Requirements

Mental Health Screening

Declaration and Signature