Preparing for Your Vedic Meditation Journey

Welcome, Beautiful Being

I’m so grateful to be sharing this journey with you. To help you feel comfortable and at ease throughout the course, please take a moment to read through this form, complete and submit to reserve your place.

Everything you share will remain completely confidential and is simply to help create the most enriching experience for you.

If you need any assistance with accessibility or have any questions about the course, please don’t hesitate to reach out – I’m here for you.

I can’t wait to sit in stillness together ✨

Love & light,

Kazzie xx

M: 0432 504414 / E: hello@myndharmony.com

NOTE: Completing this form will provisionally hold your place on the course. Once submitted, I’ll be in touch personally to confirm your investment option and next steps.

A $50 deposit will be required to secure your place and will be deducted from your chosen course investment, with the remaining balance payable by bank transfer before the course commences, unless agreed otherwise.

Name

First NameLast Name

Date of Birth (this is required in determining your personal mantra)

Date

Email

example@example.com

Mobile Number

Area CodePhone Number

Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Indicate Course Dates you'd like to book

Course Investment Option Chosen

Occupation

Are you taking sedative medication or any medication that may affect your alertness or impact your ability to practice meditation? Please list relevant medications

Are you currently under the care of a Doctor, Psychologist or Counsellor to support your mental health? If yes, please share their contact details if comfortable to do so. (Please be assured that contact will be only be made if you and I deem this necessary together)

Do you have any concerns related to your health (current or previous) or any further comments that you would like me to be aware of?

Preparing for the Course

This course is delivered over four sessions, each lasting 2hrs. To help you feel comfortable and ready to settle into the practice:

Wear comfy clothing so you can relax fully and enjoy the experience.
To support the practice, try to avoid eating 60 minutes leading up to the start of each session.
Please also avoid stimulants such as tea, coffee and sugar in the 60 minutes before each session. Herbal teas and water are absolutely fine. Kindly note that alcohol should be avoided completely.
Sessions begin promptly, so you’re welcome to arrive up to 15 minutes beforehand to settle in and get comfortable.
We’ll be using WhatsApp for group messages – please download the app in advance if you don’t already have it.
The course is shared verbally – you’re welcome to bring a notebook and pen if you’d like to take notes.

These gentle preparations help create a warm, supportive and enriching experience for everyone involved.

Consent and Waiver

I verify that all information that I have provided in this form is correct and current to the best of my knowledge. I understand that any information provided is for safety purposes and will be kept strictly confidential unless I provide consent. I understand that Kazzie Argyle will need to disclose my personal information if required by law.

I acknowledge that I am voluntarily participating in services provided by Mynd Harmony and Kazzie Argyle (teacher). I acknowledge and understand that I am responsible for all aspects of my health and wellbeing. If I experience pain, discomfort, or difficulty that is cause for concern, during or after the service, or during my ongoing meditation practice, I understand that I should stop immediately, and inform the teacher. I will not hold the teacher (Kazzie Argyle) responsible for any pain, discomfort or difficulty I experience before, during or after the service.

I recognise and understand that the instructions and advice presented to me as part of the service are in understanding that the teacher is not qualified to carry out a medical examination or provide a diagnosis and I agree not to interpret the teacher's comments as medical advice.

I affirm that I have notified Kazzie Argyle of all known medical conditions and injuries. If my health and wellbeing status changes as any time during the course, I agree to notify the teacher immediately. If I have any health concerns that may interfere with my participation in the service, I understand that I should consult my healthcare provider before beginning the course.

I consent to receiving services from Kazzie Argyle and I acknowledge that I am doing so at my own risk. My health and safety with respect to such services are my sole responsibility. I recognise, understand and assume all risks associated with my voluntary participation in services from Kazzie Argyle, including, but not limited to, those risks that may result in personal injury and death. In giving my informed consent to receiving services, I hereby waive, release, discharge and hold Kazzie Argyle and Mynd Harmony Vedic Meditation harmless from any and all liability for any and all injuries, including damages or claims relating to or resulting from my receipt of the services, now or in the future, foreseen or unforeseen.

By signing this form electronically, I agree that I have read and fully understand the above statements

Signature