Liability Waiver

I, [Participant's Name], hereby acknowledge that I am voluntarily participating in the movement workshop conducted by Francisca Consulting and Counseling, LLC on July 13, 2024.

I understand that the workshop involves physical activity, including but not limited to dance, stretching, and movement exercises. I acknowledge that there are inherent risks associated with physical activity, including the risk of injury.

I certify that I am physically fit and able to participate in the workshop. I understand that it is my responsibility to inform the instructor of any pre-existing medical conditions or injuries that may affect my ability to participate safely.

I understand that movement-based workshops can offer valuable opportunities for couples to deepen their connection and explore attachment themes, they may also have potential negative impacts on the relationship:

• Triggers and emotional discomfort: Exploring attachment themes through movement can sometimes trigger unresolved emotions or past traumas related to attachment, leading to emotional discomfort or distress for one or both partners.

• Intensified conflicts: Delving into attachment dynamics may bring to light underlying conflicts or tensions within the relationship, potentially leading to heightened disagreements or arguments between partners.

• Increased vulnerability: Discussing attachment-related topics and engaging in movement exercises that require vulnerability may leave participants feeling exposed or vulnerable, which could potentially strain the relationship if not managed effectively.

• Power dynamics: Movement-based workshops may inadvertently reinforce existing power imbalances within the relationship, particularly if one partner feels more comfortable or skilled in the movement activities than the other.

• Unrealistic expectations: Couples may enter the workshop with high hopes or expectations for resolving attachment-related issues, and if these expectations are not met, they may feel disappointed or disillusioned with the experience.

I agree to approach movement-based workshops with awareness of the potential challenges and to communicate openly with each other and the workshop facilitator about any concerns or discomfort that arises. Creating a safe and supportive environment for exploration and expression can help mitigate these potential negative impacts and foster growth and connection within the relationship.

I agree to follow all instructions provided by the workshop instructor and to engage in the activities to the best of my ability while respecting my own limitations.

I release Francisca Consulting and Counseling, LLC, its instructors, employees, and affiliates from any liability for injuries or damages that may occur as a result of my participation in the workshop, except in cases of gross negligence or willful misconduct.

I understand that this waiver is binding and applies to all present and future workshop sessions.