Workshop Waiver | Green Witch School of Practical Magic

First name

Last name

Today's Date

Month

Day

Year

Workshop Participation & Health Disclosure

I confirm I do not have schizophrenia, psychosis, or other unsafe psychiatric conditions OR I have clearance from my healthcare provider to participate in this workshop.

I confirm I am voluntarily participating and may stop at any time.

I confirm I do not have epilepsy/seizure disorder OR I have clearance from my healthcare provider to participate in this workshop.

I agree to arrive in a clear and sober state, free from the influence of drugs or alcohol, so I can safely participate.

I understand that the practices and messages shared in this workshop — including hypnosis, meditation, or any intuitive/psychic insights — are for educational and spiritual purposes only. They are not a substitute for medical, psychological, legal, or financial advice, and I remain solely responsible for my own wellbeing and decisions.

Assumption of Risk & Release of Liability.

I acknowledge that participation in any physical, mental, or spiritual activity involves some level of risk. I accept full responsibility for my participation and any consequences that may result.

I release and hold harmless Marija Mikolajczak, Green Witch School of Practical Magic LLC, and any affiliates, assistants, or venue owners from any and all liability, claims, or demands that may arise from my participation, except in cases of gross negligence.

Video and Photo Release

I understand that video and photos may be taken during this workshop for Marija Mikolajczak’s private review and self-improvement. I can indicate whether these videos can be used for other purposes below.

How may your image appear in any recordings that are used for marketing or promotional purposes (e.g., website, social media, printed materials)?

I give permission for my image to be shown without restrictions.

I give permission for my image to be shown if I have the chance to preview and approve before public use.

Only if my face is blurred or covered.

Only if I am not directly visible (e.g., filmed from behind).

Not at all — no part of me may be visible (face, body, even in background).

How may your voice be included in recordings that are used for marketing or promotional purposes (e.g., website, social media, printed materials)?

My voice may be included without restriction.

Background sounds are okay (for example: group laughter or "wow!" offscreen) but not if I’m directly speaking.

No — please do not include my voice at all (even in background offscreen).

IF you appear in recordings used for marketing or promotional purposes (e.g., website, social media, printed materials)?(with permission above), how may you be identified?

You may use my full name.

You may use my first name only (no last name).

Do not use my name at all. (also select if no permission for use was granted above)

If you appear in recordings (with permission above), do you want to be tagged or identified on social media?

No, do not tag or identify me.

Yes, please tag me:

Email Address

Yes, keep me in the circle — send me news of classes, rituals, and magical gatherings.

Workshop
Waiver and Release

Green Witch School of Practical Magic.

Real Magic. Real Transformation.

Workshop Waiver and Release

Green Witch School of Practical Magic.

​Real Magic. Real Transformation.

Workshop
Waiver and Release

Real Magic. Real Transformation.