Pre-Container Consent Form


Welcome. Before we begin, please read this carefully.

This experience involves emotional exploration, nervous system awareness, and group-based relational work.
The goal is growth, not comfort; attunement, not perfection; agency, not dependency.

This is not therapy.
This is not a promise of safety.
This is not a rescue container.
This is an invitation into adult sovereignty.

By signing this, you acknowledge and agree to the following:

1. THIS IS NOT THERAPY.

I understand that:

  • This experience is educational and experiential in nature.
  • Nima is acting as a teacher and coach, not a therapist or mental health provider.
  • No diagnosis, treatment, or clinical intervention is being offered.

I take full responsibility for consulting with a licensed clinician for any mental health concerns.

2. NO GUARANTEE OF “SAFETY” — ONLY ATTUNEMENT.

I understand:

  • No facilitator can guarantee that a space is “safe.”
  • At times, I may feel challenged, activated, or uncomfortable.
  • “Activation” does not equal “harm.”

Nima commits to attunement, pacing, and responsiveness —
not to eliminating all discomfort or triggers.

3. I AM THE FINAL AUTHORITY ON MY INNER EXPERIENCE.

I understand:

  • I am the expert on my body, my sensations, and my emotional truth.
  • If something does not resonate or feels inaccurate, I can say:

    • “No.”
    • “That doesn’t land.”
    • “Pause.”
    • “I want to stop.”
    • “I need a break.”

And this will be respected.

4. I AGREE TO CLEAR, HONEST COMMUNICATION.

I agree to:

  • Name what is happening in my body when possible.
  • Speak up if I feel overwhelmed, confused, or misattuned to.
  • Let the facilitator know if I need a pause, break, or boundary.

5. SILENCE DOES NOT MEAN CONSENT.

I understand that:

Silence does not mean yes.
If I do not verbally or physically indicate that I want to go deeper,
or if I become quiet, still, frozen, confused, or uncertain,
this does NOT count as consent to continue.

I am responsible for letting the facilitator know out loud if something feels unclear, overwhelming, or like I need to pause, slow down, or stop.

If I go quiet, freeze, fawn, or mentally check out, the facilitator will not interpret that as agreement to proceed.

6. GROUP SHARES ARE CONSENSUAL AND OPTIONAL.

I understand:

  • I never have to share anything out loud.
  • If invited to participate, I may say yes or no without explanation.
  • Declining is not considered resistance.

If I share publicly, I am choosing that exposure knowingly.

7. DEMO WORK REQUIRES ACTIVE AGENCY — NOT APPEASEMENT.

I understand:

  • I will only be invited into deeper work if my nervous system shows capacity.
  • Freeze, fawn, collapse, or confusion are not green lights for shadow work.
  • I will never be pressured to go deeper than I choose.

I commit to participating from agency, not urgency or people-pleasing.

8. TRIGGERING OR CHALLENGING MOMENTS MAY ARISE.

I understand:

  • I may feel discomfort, defensiveness, shame, frustration, or activation.
  • These sensations are normal and often productive in relational work.
  • Discomfort is not grounds for refund or accusation of harm.

I take full responsibility for my emotional reactions and regulation.

9. I AGREE NOT TO PROJECT A “SAVIOR / SAFE FATHER” ROLE ONTO THE FACILITATOR.

I understand:

  • The facilitator is human, imperfect, and not responsible for fulfilling unmet childhood needs.
  • I will not idealize or demonize the facilitator based on activation or disappointment.
  • I am responsible for maintaining an adult-to-adult relating stance.

10. I HOLD CONFIDENTIALITY FOR OTHER PARTICIPANTS.

I will not share:

  • any personal details
  • any stories
  • any identities
  • any emotional revelations

from other participants or the event.

11. I ACCEPT THE REFUND POLICY.

I understand that:

  • There are no refunds after the event begins, except for technical issues that prevent attendance.
  • Emotional discomfort, disagreement, activation, or non-resonance are not grounds for refund.

I choose to participate with full awareness of this policy.

12. I AM RESPONSIBLE FOR MY WELLBEING DURING AND AFTER THE EVENT.

I agree to:

  • take breaks when needed
  • use grounding tools
  • seek external support if activated after the event
  • take responsibility for integration

I do not hold the facilitator liable for emotional discomfort arising from my own internal process.

13. I ENTER THIS EXPERIENCE VOLUNTARILY AND FROM A PLACE OF AGENCY.

By signing this, I affirm:

  • I am not enrolling from desperation, urgency, or emotional collapse.
  • I am choosing this container from personal sovereignty.
  • I am not expecting to be fixed, rescued, saved, or re-parented.

I am entering as an empowered adult.

Signature Section

I have read, understood, and agree to all terms in this Participant Agreement & Consent Form.

Leave this empty:

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Signature Certificate
Document name: Pre-Container Consent Form
lock iconUnique Document ID: 66768f9d0edeb96bfcbdda074dae120fb89d87c9
Timestamp Audit
December 2, 2025 6:53 am PSTPre-Container Consent Form Uploaded by Saima Rehman - hello.qdot@gmail.com IP 39.41.82.192