TRANSFORMATIONAL RETREAT
AT GRAND LAKE

Informed Consent And Disclosure

Scope and Limitations

What We Provide:

Support for personal growth and life transitions
Tools for self-discovery and goal achievement
A safe container for exploration and transformation
Guidance in developing personal strategies and insights

What We Do NOT Provide:

Diagnosis or treatment of mental health conditions
Medical advice or treatment
Crisis intervention or emergency services
Therapy for trauma, addiction, or severe mental health issues

Outcome Expectations, Risks & Benefits

Potential Benefits:

Increased self-awareness and clarity
Enhanced personal and professional relationships
Greater sense of purpose and direction
Improved communication and life skills
Expanded perspective and personal growth
Connection with like-minded individuals

Potential Risks:

Emotional discomfort as you explore personal patterns
Temporary increase in anxiety or emotional intensity
Surfacing of unresolved issues or past experiences
Disruption of current relationship dynamics
No guarantee of specific outcomes or life changes
Physical discomfort from retreat activities
Allergic reactions to food or environmental factors

Important Considerations:

Personal growth work can be emotionally challenging
Change processes may temporarily disrupt your equilibrium
You may experience resistance from others as you make changes
Results and timeline for transformation vary greatly among individuals
Your commitment and participation directly impact your experience

Facilitator Qualifications And Scope Of Practice

Primary Facilitator: Megan Ness

Master's Degree in Psychological Studies
Certified Professional Life Coach
Advanced Trained in Emotionally Focused Therapy
Master Splankna Practitioner
Certified SYMBIS Facilitator
Unlicensed Psychotherapist, State Board of Unlicensed Psychotherapists, License # NLC.0013624

Co-Facilitator: Christi Matens

Master's Degree in Counseling
Certified Professional Life Coach
Not a licensed therapist, counselor, or mental health professional

Confidentiality

Group Confidentiality:

What is shared in group sessions stays within the group
All participants agree to maintain confidentiality
Facilitators will maintain confidentiality except as noted below

Limits to Confidentiality: Confidentiality may be broken if:

You pose an imminent danger to yourself or others
There is suspected abuse of a child, elderly person, or dependent adult
A court orders disclosure of information
You provide written consent to share specific information

Physical Safety And Appropriate Touch

Physical Activities:

Some retreat activities may involve movement, outdoor activities, or physical exercises
Please inform facilitators of any physical limitations, injuries, or medical conditions
You have the right to modify or decline any physical activity
We are not liable for injuries resulting from your participation

Touch Policy:

All touch is optional and with explicit consent
Touch may include: handshakes, hugs, or supportive touch
You may decline any physical contact at any time
Please communicate your boundaries clearly
Inappropriate or unwelcome touch should be reported immediately

Emergency Procedures

Medical Emergency or Mental Health Crisis:

In case of medical emergency, we will contact emergency services; in case of mental health crisis, we will assist in connecting you with appropriate emergency services
We may contact emergency services (911) if there is imminent danger

Please disclose any medical conditions, allergies, or medications that might affect your participation
Bring all necessary medications and medical supplies

Complaints And Reporting

Colorado Department of Regulatory Agencies (DORA):

Primary Facilitator Megan Ness practices under Colorado regulations
Complaints may be filed with: Colorado Department of Regulatory Agencies, Division of Professions and Occupations, 1560 Broadway, Suite 1350, Denver, CO 80202, (303) 894-7800, dora.colorado.gov

Professional Life Coach Certification Bodies:

Both facilitators maintain certifications through International Coach Federation (ICF)
Complaints regarding coaching ethics may be filed with the respective certification body
Contact information for reporting will be provided upon request

Participant Responsibilities

You agree to:

Participate authentically and respectfully
Maintain confidentiality of other participants
Communicate your needs and boundaries clearly
Take responsibility for your own self-care
Engage in activities within your physical and emotional capacity
Follow all retreat guidelines and policies

Please do NOT participate if you:

Are currently in acute mental health crisis
Are under the influence of drugs or alcohol
Have untreated severe mental health conditions
Are unable to function safely in a group setting
Have communicable diseases that could affect other participants

Technology And Social Media

Use of recording devices requires consent from all present
Social media posts featuring other participants require their consent
Retreat content and processes are proprietary and not to be recorded without permission

Force Majeure

Neither party shall be liable for delays or failures due to circumstances beyond reasonable control, including but not limited to: natural disasters, government actions, or health emergencies.

Electronic Signature Agreement

By typing my full legal name below, I agree that my typed name constitutes a legally binding electronic signature with the same legal force and effect as my handwritten signature. I voluntarily choose to authenticate this document electronically and agree to be bound by all its terms.

Agreement

By signing below (either handwritten or electronic signature), you acknowledge that:

You have read and understand this informed consent
You understand the nature, risks, and benefits of retreat participation
You understand facilitators are not licensed mental health professionals
You agree to all terms and conditions outlined above
You are participating voluntarily and can withdraw at any time

TRANSFORMATIONAL RETREAT AT GRAND LAKE