I, the electronic signer above, hereby authorize Maris Bergrune (legal name Melissa Rosenberger, hereafter referred to as Maris) to perform the following procedures and services as scheduled:
 
Spirit Healing: The use of subtle energy techniques including, but not limited to, journey work, energy extraction, cord-cutting, compassionate depossession, soul and essence retrieval, power retrieval, energy body reading and clearing, curse unraveling, sound healing, and mediated ancestral healing.
 
Ancestral Lineage Healing: Facilitation of the ancestral lineage healing process developed by Daniel Foor. These sessions are facilitated and supported by the practitioner but not mediated by the practitioner. Clients are empowered to connect with and relate to their own well ancestors, and the well ancestors mediate the healing work for the lineage. Follow-up suggestions and guidance for engaging the process will be given.
 
Mentorship/Intuitive Feedback: Receiving feedback on personal life situations and goals, training and direction in energy body techniques and other processes related to the intention of the session for the purpose of self-understanding, personal growth, and self- empowerment.
 
By scheduling a session with Maris I affirm that I have read the following statements indicating understanding and consent of the conditions presented:
 
I understand that Maris is not a therapist or medical provider, and that this work is not therapy or medical treatment or a substitute for therapy or medical treatment. I understand that this work does not intend to diagnose, treat, or cure disease or mental illness. I understand that this work is not for people experiencing unstable mental health conditions, those who are in crisis, or those with substantive active trauma.  I understand that this work is transformative/catalytic and that I am responsible for acquiring the mental health support, aftercare, or integration work needed to process this work, as recommended by Maris or according to my own self-assessment and judgment.
 
I will not hold Maris or The Golden Lyre LCC legally responsible for any physical, emotional, mental, circumstantial, or energetic effects that may occur in connection with my participation in sessions. I recognize and agree that I am fully responsible for my well-being during my session, which includes disclosing any concerns and/or questions I may have before, during, or following my session.
 
I understand that Maris does not guarantee any specific result from session work and that she is unable to predict or control what my outcome may be. In receiving treatment I am willing to assume the risk of this uncertainty.
 
I understand that during a course of session work some symptoms or circumstances may be activated or exacerbated: I may experience new symptoms as layers of work come up for processing, and I may experience an exacerbation of existing symptoms as the work progresses. I understand that usually these states are temporary and resolve with a completion of the work, but that no guarantees can be given about their resolution.
 
With this knowledge, I voluntarily consent to the above procedures and services, realizing that no guarantees have been given to me by Maris regarding the cure or improvement of my conditions. Except in the case of gross negligence or malpractice, I or my representative(s) agree to fully release and hold harmless Maris and The Golden Lyre LCC and all its agents from and against any and all claims or liability of whatsoever kind or nature arising out of or in connection with the above mentioned procedures and services.
 
I understand that I am free to withdraw my consent and to discontinue participating in these services at any time. I understand that Maris may terminate our professional relationship for any reason, and in the event of termination will provide referrals for my continued care.