I am very excited to begin this 4-week journey with you. It is very important that you read this form prior to beginning this program. Please read the form entirely and reach out if you have any questions.

This intensive will require to you to take time and space to be with your experience throughout the program. The practices that are given to you in the program are designed to help strengthen your relationship to Noya Rao and to help facilitate a process of transformation. Please commit to spending 20 minutes a day to these practices at least 3x a week and take time be in your own energy and space for reflection.

It is common that this process will stretch you in ways that can bring up discomfort. Some common experiences include: Unprocessed emotions coming to the surface, difficulty ingesting foods or  substances that are not healthy for you, changes in sleep, tiredness and fatigue. These are all normal and are in service to deep healing and aligning to what is in service to your highest good. The tree will often push up material from the unconscious to help you recognize what is blocking you from expressing your highest truth.

INTENSIVE REQUIREMENTS:

-There will be 4 transmissionsthat you will need to complete within a 5 week period. The First transmission is opening you up to be receptive to the healing work by Noya Rao. It is VERY important to do the closing ceremony so you are not remaining open for longer than a week after the program is scheduled to end. If you have any reason to not complete the program within 5 weeks, please reach out to me.

-You will have two Group Integration sessions to attend. These sessions are important for us to be able to track everyone’s experience and ensure that every one is well taken care of during the program. Please commit to making both sessions. If unique circumstances occur and you are not able to attend please reach out to your group leader. If you are someone who has reservations about sharing in the small group, please email about other possible options.

-Please commit to 2-3 hours of practice a week.

-It is recommended during the program to track dreams, spiritual encounters, visions, feelings, physical health, diet, and synchronicities throughout the program. You will be given prompts in the program to support you with tracking.

-EARLY TERMINATION: It is your right to terminate your participation anytime, but it is required of you to inform your guide first so that you can be supported with transitioning out of the program.

-DIET: There are certain foods or substances that can impact your connection to Noya Rao and your healing process. Please refrain from the following for one week prior and two weeks after the program:

-Pork

-Alcohol or Substances, including Cannabis. If you planning on attending a ceremony during the program, please reach out to discuss with organizer.

-Participants report that changes in their diet occur naturally in the program. This is not always the same for everyone. If you notice a sensitivity to certain foods during the program it may be a way of the tree guiding you to shift your diet during the program.

-Try your best to maintain a clean healthy diet throughout the program

-You will be given a copy of dietary restrictions that you are recommended to hold for 5-7 days during the program.

-Please inform organizer of any medications you are planning on taking during the program

-MENTAL HEALTH:  If you have active suicidal intent, homicidal intent or have experienced significant trauma in your life that has not yet been addressed in any way or if you know the triggering of these traumas continues to be significantly destabilizing, currently effecting your ability to meet your basic needs and responsibilities DO NOT SUBMIT PAYMENT and please contact the organizer to see of this course is appropriate at this time.

-CONFIDENTIALITY: Due to the personal nature of this work you are asked to not discuss the experiences that have been shared within this group to others outside the group without expressed permission. Additionally, whatever might be shared within your small group may not be discussed with the larger group without that participant’s permission. You are always free to share your own personal experience with whomever you choose.

-Facilitators of this program will also hold confidentiality, but will be sharing client information with each other to collectively track each person’s experience and to make sure they are receiving the support they need.

-Exceptions to confidentiality include the following;

-A person is at risk of harming oneself or others

-A person is in need of medical attention

-Individuals are allowed to report to the facilitators if someone in the program appears to need more support

AGREEMENTS:

-You agree to inform organizer if you are having any suicidal thoughts during the program

-You agree to inform the organizer if you are having difficulty managing any mental health symptoms during the program

-You agree to inform the organizer if any major physical or medical symptoms arise during the program

-You agree to inform the organizer if you are planning on terminating the program early

-You agree to inform organizer if you notice anyone in your group struggling and seemingly in need of more guidance.

NOT A REPLACEMENT FOR MEDICAL TREATMENT OR CLINICAL PSYCHOLOGICAL ASSISTANCE.

This Online Course is not a replacement/substitute for (nor is it intended to be) medical therapy, psychotherapy, or treatment for addiction or trauma. Though the facilitator is a licensed psychotherapist, I understand that this course is not considered group therapy nor is any advice or knowledge presented here offered as professional mental health or psychotherapeutic advice or information.

Krista Rhinehart (the ‘Organizer’) recognizes that some people wish to avoid any experiences that involve negative emotions. Therefore, if after reading the following descriptions or any portion of this document, you have any concern about your ability to fully participate in the course, it is recommended that you immediately contact the Organizer before enrolling.

During the course, you may experience thoughts, feelings, or sensations that you have not previously explored thoroughly. You may experience psychological discomfort during some portions of the course. In preparing for this course, it’s important to consider that negative patterns and challenging emotions may arise from this work as opportunities for your personal development.

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I am the facilitator of the program and it is my priority to support your practice in whatever way I am able and be sure that all your questions are answered to help you be clear on your participation. ​Please email me at [email protected] you have any questions before signing this form.

Education and Training

Degrees and Certificates

Masters in Counseling Psychology at The Institute of Transpersonal psychology

Doctorate in East-West Psychology at the California Institute of Integral Studies

Reiki 1, 2, and Master level attunement and training

12 year Apprenticeship in Shipibo Plant Shamanism

RELEASE OF LIABILITY AND WAIVER OF RIGHTS. 
Includes: Terms of Participation, Disclaimer, Releases, Hold Harmless, Confidentiality and Arbitration (the ‘Agreement’)

SECTION I: CONSENT TO PARTICIPATE

1. GENERAL TERMS AND AGREEMENTS. I am fully informed to my satisfaction about the Course. I willingly choose to participate in the Online intensive at this time. I understand that the intensive includes energy work, which may or may not result in personal growth.

My decision to participate in this course is a personal decision. Due to the unique subjective response that each person has to this work, I understand that promises or warranties cannot be made that I will receive any specific benefits or results from my participation in this intensive.

I understand that the intensive is relying on me, in consultation with my health care professionals if I deem it appropriate, to determine whether I am capable of undertaking this intensive at this time. In that light, I do not have any doubts about my mental health, emotional stability, or physical ability to handle this intensive. I certify that I am physically and mentally capable of engaging in this intensive, and that there are no medical or psychological conditions currently affecting  me or which I have experienced in the past that would, if disclosed, cause the Organizer to deny my participation in this intensive.

I understand and agree that if I am currently undergoing any psychological or psychiatric treatment, especially for any SMI (Serious Mental Illnesses), that I will get explicit permission from my treatment provider to take this intensive.

If I feel mental or physical distress I will inform the Organizer immediately by calling (303) 912-5171 and leaving a message if no one answers, and that I will also immediately email the course support address at: [email protected] I feel the need for psychological assistance or medical attention, I take full responsibility for obtaining it for myself.

2. ASSUMPTION OF RISK. I accept and assume full responsibility for all of the risks and hazards associated with participation, whether known or unknown, including, but not limited to,

-risks associated with challenging psychological material or unpleasant emotions coming into awareness.
-risks associated with energy work
-risks associated with meditation.
-risks associated with movement, such as sitting, standing, lying down, yoga postures and walking meditation.
-risks associated with any dietary suggestions given during the timeframe of the intensive.
-risks associated with dialog with other participants in written, video, and audio communication.
-risks associated with combining the intensive with medication, alcohol, cannabis, and/or any other substances.

I accept and assume full responsibility for any injury I may suffer and/or any damage that I may incur (whether related to my properties or not) caused directly or indirectly by any other person. I elect to participate in the intensive with full knowledge of all known, unknown, or potential risks and agree to forever waive any and all claims and legal rights that I may have whatsoever arising out of my participation in the course as regards the Organizer and all others.

3. PROPRIETARY INFORMATION. I understand and agree that all materials, concepts and information (“Materials”) presented during the intensive, orally, by video, in writing or by another means, are the property of the Organizer. I acknowledge that these materials are protected by copyright, trademark, and trade secret laws. I agree not to reproduce, copy, or otherwise duplicate such Materials without the express permission of a member of Krista Rhinehart. I agree that I have no right to modify, edit, alter or enhance any of the Materials in any manner. I acknowledge that the Materials constitute commercially valuable, proprietary, confidential property of the Organizer, the design and development of which required the investment of substantial effort, time, and money and reflect, in part, the credibility and "goodwill" of the intensive and the Organizer.

I further understand that any Materials presented in this course are intended solely for use in this intensive. I understand that while I am welcome to benefit from such materials personally, and to express and share those benefits, I agree not to resell, modify and resell, and/or repackage and resell, and/or rename and resell the Materials. I agree that intensive Materials may not be distributed, transmitted, or broadcast in any manner, or for any purpose, unless expressly authorized by Krista Rhinehart, in advance and in writing. I agree not to use the Materials in any way that would compromise the proprietary nature of the Materials.

I therefore agree not to deliver the Materials themselves, either reproduced or modified, in any way, including but not limited to as part of any seminar, training course, therapy, workshop, consulting, or similar business activity that I make available to my clients or to the public. I agree that should I wish to use any Materials from this course in any way, that I will first obtain the written consent of Krista Rhinehart. By signing this agreement, I agree to be bound beyond copyright law.

4. VIDEO AND AUDIO RECORDING. During the intensive instruction transmissions, and the Office hours questions and answer will be audio and/or video recorded by Krista Rhinehart. As a result of my participation in the intensive, I may be included in any such video, movie, photographic or audio reproduction. If you have any concerns about being video tapped. Please reach out to organizer about having your video off during the recordings.

I understand that any and all of said reproductions are the exclusive property of the Organizer, and the Organizer is the exclusive copyright owner, and that all video, audio, photographic and written material associated with or provided to me during the intensive is protected by the copyright laws of the United States and other countries. I understand that any video or audio recording or photographs created by anyone other than the Organizer during the intensive events are strictly prohibited and that I may immediately be terminated as a participant without a refund of my tuition if I breach this clause.

5. CONFIDENTIALITY AMONG PARTICIPANTS. I understand and agree that the intensive is a private and personal experience for each participant. As such, I agree to respect the confidentiality of all participants and their remarks and actions, and I agree to keep all such information private and confidential. I also agree to respect the confidentiality, identity and experiences of all participants that I’m aware of. I undertake not to publish any person’s name in any media without their prior written consent. I accept that photography, video and sound recording are not permitted during the intensive except by the Organizer or as authorized by Krista Rhinehart in writing.

While I agree to keep confidential the identities and experiences of all other participants, this does not include my own personal experiences, which I may choose to share with others as long as it does not compromise my commitment to the confidentiality of the identities and experiences of other participants.

6. ORGANIZER’S PROMISE OF CONFIDENTIALITY. The Organizer agrees to maintain the confidentiality of Confidential Information as stated above.
If the Organizer wishes to copyright and/or publish, reproduce or otherwise use any audio, video, photos or transcripts from the course the Organizer will request express written consent of said Course participants.

7. RESPECTFUL BEHAVIOR. I agree to treat all other course participants and members of the Organizer with respect at all times throughout the course.

8. RESPONSIBLE FOR MY OWN WELLBEING. I acknowledge that I am responsible for my own wellbeing during the program, including getting psychological or medical assistance, sufficient food and sleep, and taking any prescribed medicines on time.

SECTION II: AGREEMENT RELEASING ORGANIZER AND FACILITATORS FROM LIABILITY FOR NEGLIGENCE OR OTHER ACTS

I acknowledge that I have been given the opportunity to ask questions regarding any aspect of the releases contained herein, and by agreeing to these terms, do acknowledge that I have carefully and completely read and fully understand all aspects of the releases and agree to these terms in their entirety. In consideration of the Organizer allowing me to attend and participate in the Online Intensive and its associated activities, I, on behalf of myself, my heirs, executors, administrators, and assigns, hereby agree:

1. RELEASE OF ALL CLAIMS. I understand that I may discover claims arising from my participation in program which I do not presently know to exist or suspect to exist with respect to my participation in the program but that it is my intent to fully, finally and forever release all of the claims, known or unknown, suspected or unsuspected which do now exist, have heretofore existed or may exist in the future arising from or related to my participation in the program.

2. ASSUMPTION OF RISK. I am fully aware that participating in the program may contain risks of emotional, personal, psychological, physical and other forms of injury. I know and understand the scope, nature, and extent of the risks involved in the program and activities contemplated by this agreement. I voluntarily and freely choose to incur and assume any and all such risks and dangers.

3. EXEMPTION FROM LIABILITY. I hereby fully and forever discharge and release the Organizer and program Facilitators from any and all liability, claims, demands, actions, and causes of action whatsoever, both in law and equity, arising out of or in any way resulting from personal, physical, psychological, emotional or any other injuries, distress or death, allegedly sustained during or from the program or any of its associated activities. This provision releases every kind of liability or damage, including but not limited to loss, damage, or injury resulting from the negligence of the Organize and Facilitators r or from any other cause or causes, whether resulting from my own negligent acts or omissions, from the acts or omissions of third parties, or from the acts or omissions of the Organizer and Facilitators. I acknowledge that the Organizer and Facilitators will not be liable for any other direct or indirect loss, cost or expense, of any nature, however caused.

4. COVENANT NOT TO SUE. I agree not to institute, initiate, or assist the prosecution of any suit, claim, or action at law or equity, or otherwise, against the Organizer and Facilitators for damages or otherwise which I or my heirs, executors, administrators, or assigns hereafter may have arising from the program or any of its associated activities. In any action or proceeding to interpret or enforce any of the provisions hereof, the prevailing party shall, in addition to any other award of damages or other remedy, be entitled to reasonable lawyers' fees and costs.

5. INDEMNITY AGREEMENT. I agree to indemnify and hold harmless the Organizer and Facilitators from any and all losses, claims, actions, or proceedings of any kind which may be initiated by me and/or any other person or organization on my behalf. This includes reimbursement of all legal costs and reasonable counsel fees incurred by the Organizer or other indemnified parties for the defense of any such actions which may arise directly or indirectly from my participation in the Online Course. I release and agree to indemnify and hold harmless, the Organizer, from and against all actions, claims or demands that I, my assignees, heirs, distributees, guardians and personal or legal representatives now have or may have in the future for any injury, death, loss or damage of any kind resulting from my participation in the Online Course.

6. WAIVER OF PUNITIVE DAMAGES. I understand that I am waiving and forever abandoning any claim for punitive or exemplary damages against the Organizer and Facilitators. I voluntarily choose to give up this right.

SECTION III: REFUNDS AND PARTICIPATION

1. COMMITMENT. I fully commit to complete the entire program, to the best of my ability. I understand that this is important because my failure to fully participate may impact both myself and others who are taking the program, including the members of my small group. I am making a completely firm commitment to the program.

2. COMMITMENT EXCEPTION. Although I am making a firm commitment to complete the program to the best of my ability, I understand that I am not required to continue with the program if I experience unacceptable amounts of mental, emotional, physical or other types of distress while taking the course. In such a situation I will immediately inform the Organizer by calling (303) 912-5171 and leaving a message if no one answers, and also by sending an email to the support email address: [email protected] If I feel the need for psychological assistance or medical attention, I take full responsibility for obtaining it for myself.

3. REFUNDS. I acknowledge that my tuition is non-refundable on or after the date of the first session of the program. If I drop out of the program on or after the date of the first session, I understand that I am not entitled to a refund. I also understand that my program participation may be canceled or terminated at any time for misconduct and I will not be entitled to a refund.

4. ELECTRONIC SIGNATURES. I acknowledge and agree that this agreement may be executed by the parties hereto using electronic signatures and shall become effective upon the execution of my electronic or written signature. I hereby expressly recognize that this agreement is a contract and have released any and all claims against the indemnified parties resulting from my participation in the program, including any claims caused by the negligence of the indemnified parties.

I hereby declare that I have carefully read this agreement, that I understand and agree to its contents. I also certify that I am 18 years of age or older.