Registration Application for Sacred Ambrosia

Please share your social media handles - instagram and facebook.

What are your hopes for Sacred Ambrosia? What do you want to learn or how do you want your life to change from attending this group? *

Are you available to attend all five sessions? Can you attend a minimum of 3 sessions with your scheduling constraints? *

Is this something you are comfortable with doing (with my trauma-informed guidance to support you through it)?

Do you have a history of physical or sexual trauma? Do you feel safe trying these practices? *

This program includes spending time with horses, always supported by an experienced team aware of this herd and their communication. Is this something you feel safe doing? *

I agree to follow all recommendations for safe interaction with the horses, as provided by the team at Mindful Mare Wellness.

I agree to strictly maintaining confidentiality, i.e., I may share ideas and topics, but not sensitive details such as identifying features of other participants in the group. I understand that if I do not respect confidentiality, I will be asked to leave the group before its completion.

I agree not to engage in unsolicited advice giving, personal attacks or criticisms of others in the group. I agree not to share my religious or political views.

If Shreyasi shares private feedback in regard to any of the above items, I agree to keep an open mind and try my best to adapt so that everyone in the group feels safe. If this is not possible for me, then I agree to be honest about my comfort level and leave the group if needed. I further understand that Shreyasi may ask me to leave the group if group safety (and/or safety of the herd and the Mindful Mare Wellness team) has been adversely impacted in any way.

This group is to create a sacred space for women trying to conceive. There is a strong likelihood that I or other women in this group may successfully conceive during the group. While this may stir many emotions, I commit to being supportive towards fellow group members in my verbal and nonverbal feedback. If I require private support, I will notify Shreyasi and access this support outside of the group.

This group is based on self-responsibility and holding myself accountable for my own healing. This means that if I am feeling triggered, struggling with any of the somatic practices or topics, or feeling unsafe for other reasons, it is my responsibility to take care of myself. This includes the option of leaving the group, messaging Shreyasi that day, or within 48 hours after the group to debrief. I understand that it is my responsibility to communicate to Shreyasi if there is something happening in the group that makes me feel uncomfortable or unsafe in any way.

By attending this group, I attest that I am in sound mental health and currently have the emotional capacity to attend a group sharing around infertility-related topics.

In the rare event that I become psychiatrically unwell during the group, I will contact Shreyasi privately to relay that there has been a change in my mental health. I understand that Shreyasi may provide recommendations, including advising me to leave the group at this time if she thinks it is counterproductive for my mental health.

I understand that Shreyasi is a psychiatrist and she is offering this group for support, education and therapy. She is not responsible for managing my psychiatric treatment, including medications, at any time during this group.

I understand that any feedback provided during this group is simply feedback; it is up to me to decide if this fits for my life and fertility journey, and whether I want to follow through with what is recommended.

Registration Application for Sacred Ambrosia

AGREEMENTS FOR SACRED AMBROSIA