Mentoring Consent & Liability Waiver

By checking this box, I understand that these services may include:

• Mindset coaching and life guidance

• Energetic awareness and intuitive development

• Meditation, breathwork, grounding, and visualization

• Spiritual teaching, soul guidance, and alignment practices

• Nervous system education and emotional regulation tools

• Journaling and reflective exercises

• Insight-based discussion and feedback

• Energy work such as reiki, shamanic healing & intuitive healing.

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By checking this box, I understand and acknowledge that:

• These services are not psychological counseling, psychotherapy, psychiatric care, or medical treatment.

• Jordyn is not a licensed mental health professional, physician, or medical provider.

• No diagnosis, treatment, or medical advice will be given.

• Coaching/mentoring is not a substitute for professional mental health or medical support.

• Any medical or psychological concerns must be directed to a licensed provider.

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By checking this box, I understand that:

• I am responsible for my own physical, emotional, mental, and spiritual well-being before, during, and after sessions.

• I agree to communicate my needs, triggers, or boundaries if they arise.

• I will seek appropriate professional support if I need clinical, therapeutic, or medical assistance.

• I understand that it is my responsibility to continue with any prescribed treatment.

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By checking this box, I understand that sessions may involve:

• Emotional release or heightened emotions

• Insights, memories, or personal awareness

• Sensations during meditation or energetic practices

• Shifts in perspective or clarity

I acknowledge that these experiences are normal but can sometimes feel intense.

I choose to participate voluntarily and take full responsibility for my personal experience.*

By checking this box, I understand that Astralis Healing makes no guarantees regarding:

• Specific outcomes

• Healing results

• Intuitive or spiritual development

• Accuracy of intuitive impressions

• The pace of personal transformation

I acknowledge that results vary for each person and depend on my own participation.*

By checking this box, I understand that:

• My information will be kept confidential except when legally required (such as risk of harm to myself or others).

• I will not share, publish, or distribute any proprietary materials, recordings, meditations, or teachings provided in the mentorship.

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By checking this box, I understand that all materials provided (workbooks, meditations, recordings, written content, frameworks, exercises, etc.) are owned by Astralis Healing and may not be:

• Reproduced

• Shared

• Recorded

• Taught

• Distributed

  
  

without written permission from Jordyn Kurtz, Owner Of Astralis Healing.*

By checking this box, I understand and agree that:

• All payments are final and non-refundable.

• Payment plans must be completed in full.

• Chargebacks or cancellations of payment plans are not permitted.

• Missed sessions may be rescheduled according to the program guidelines but are not refundable.

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By checking this box, I I fully release and hold harmless Astralis Healing and Jordyn from any and all liability, claims, demands, actions, or causes of action arising from:

• My participation in spiritual mentoring or coaching

• Emotional, energetic, or physical reactions

• Decisions I make as a result of these services

• Any perceived or actual changes in my life, relationships, career, or well-being

  
  

I take full responsibility for my choices, actions, and well-being.*

I agree to the terms & conditions.*