1. Acknowledgement of Personal Responsibility

By participating in this psilocybin ceremony (“Ceremony”), I acknowledge that I am voluntarily choosing to ingest a psychedelic substance. I fully understand that:
• Psilocybin is a psychoactive substance that may cause strong emotional, psychological, or physical experiences.
• Participation in this Ceremony may result in profound internal states and insights, which may require integration or therapeutic support afterward.
• I am responsible for my own wellbeing, choices, and behavior during and after the Ceremony.

2. Informed Consent & Health Disclosure

I affirm that I have disclosed to the Facilitator any and all relevant mental and physical health conditions, including but not limited to:
• History of psychiatric conditions (e.g., schizophrenia, bipolar disorder, psychosis)
• Current medications (including antidepressants, antipsychotics, or MAOIs)
• Heart conditions, epilepsy, or other relevant physical health concerns
• Past or current substance abuse issues

I confirm that I am not currently pregnant, under the influence of alcohol, or using any contraindicated medications.

3. Voluntary Participation

I certify that:
• I am over 21 years old (or legal age of majority in my jurisdiction).
• I am voluntarily participating in this Ceremony and have not been coerced or pressured.
• I understand I may choose to leave the Ceremony at any time.

4. Acknowledgement of Legal Status

I understand and accept that:
• Psilocybin is considered a controlled substance in many jurisdictions.
• The Ceremony may not be legal in my country, state, or city.
• By participating, I am solely responsible for any legal consequences that may arise.

I release the Facilitator and all associated parties from any liability related to legal risks or law enforcement interactions.

5. Assumption of Risk & Release of Liability

I acknowledge and assume all risks, including but not limited to:
• Emotional distress, psychological episodes, or physical discomfort
• Injury from tripping/falling, exposure to natural elements, allergic reactions
• Unforeseen outcomes, medical complications, or trauma triggered during Ceremony

I release and hold harmless the Facilitator, support staff, volunteers, property owners, and any affiliates from all liability, claims, demands, actions, or causes of action related to participation in the Ceremony, whether caused by negligence or otherwise.
6. No Guarantees of Outcome

I understand the Ceremony is not a medical or psychiatric treatment, nor a substitute for therapy. The Facilitator makes no guarantee of outcome or specific results. This is a personal growth, introspective, and spiritual experience.

7. Confidentiality & Respect

I agree to:
• Respect the privacy of others attending the Ceremony.
• Keep confidential any personal experiences, stories, or identities shared by other participants.
• Refrain from recording audio or video unless explicitly permitted.

8. Code of Conduct

I agree to:
• Follow all directions given by the Facilitator and support staff.
• Behave respectfully toward all individuals present.
• Refrain from engaging in sexual, violent, or disruptive behavior.
• Avoid bringing alcohol, illegal substances, or weapons to the Ceremony.

Violation of this code may result in immediate dismissal without refund.

9. Integration and Aftercare

I understand that post-ceremony integration is an important part of the process. While the Facilitator may offer guidance or resources, I am responsible for seeking professional support if needed.

11. Agreement to Terms

By signing below, I affirm that I have read and understood this agreement in full. I am signing voluntarily and agree to all the terms and conditions stated above.

Participant Full Name: ___________________________________________
Signature: ___________________________________________
Date: ___________________

Emergency Contact Name & Number: ___________________________________

By checking this box and submitting payment, I agree that I have read and understand the terms of this contract.