Informed Consent &
Participation Agreement
Embodied Emotions™ Experiences
Offered by Nyhavn, LLC
Facilitated by Joanna Tholstrom
Overview & Informed Consent
Experiences with Joanna Tholstrom guide and support deep self-exploration and transformation in the physical, mental, emotional, spiritual, and energetic body through a variety of ancient and modern practices. The tools, modalities, and techniques used may create experiences felt on varied levels of consciousness.
Because this work can evoke intense emotions and strong physical sensations, I understand that issues arising from my participation may require additional therapeutic or supportive interventions outside of these sessions. I acknowledge that these experiences have the potential to create both desirable and undesirable effects.
I understand that my participation is voluntary and that I am responsible for my own experience at all times.
Nature of Services
I acknowledge that I am voluntarily participating in breathwork, meditative movement, energetic practices, embodiment techniques, emotional processing experiences, and group-based practices with Joanna Tholstrom.
I understand that any guidance, facilitation, or support I receive from Joanna:
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Does not involve the diagnosis or treatment of mental disorders
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Is not psychotherapy, counseling, psychiatry, or medical treatment
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Is not a substitute for mental health care, substance-abuse treatment, or medical care
I accept full responsibility for my physical, emotional, mental, and energetic well-being before, during, and after each session or immersion.
Breathwork Acknowledgment
I understand that breathwork practices may involve conscious breathing patterns that can create altered states of awareness and physical sensations, including but not limited to tingling, lightheadedness, emotional release, temporary discomfort, or fatigue.
I acknowledge that breathwork may not be appropriate for everyone and agree to participate at my own pace. I understand that I may stop, modify, or pause my participation at any time if something feels unsafe or overwhelming.
Health Conditions & Contraindications
If I am pregnant, taking anticoagulant drugs (e.g., Coumadin), experiencing a severe bleeding disorder (such as hemophilia), or have a heart condition, diabetes, circulatory problems, blood clots, cancer or malignancies, bone disorders (including osteoporosis, Paget’s disease, or multiple myeloma), metal implants, a pacemaker, or any serious medical condition, I agree to disclose this information to Joanna Tholstrom prior to participation.
I understand that it is my responsibility to consult with a qualified healthcare provider if I have any concerns about my ability to safely participate.
Medical Responsibility
If I experience pain, discomfort, dizziness, emotional overwhelm, or anything concerning during or after a session, I agree to stop immediately and seek appropriate professional support before continuing.
I understand that Joanna Tholstrom and Nyhavn, LLC are not responsible for monitoring my physical or emotional limits.
Essential Oils Use & Sensitivity Acknowledgment
I understand that essential oils may be diffused in the space, offered aromatically, or applied topically with my consent.
I acknowledge that essential oils are not medical treatments and may cause allergic reactions, respiratory sensitivity, photosensitivity, or skin irritation in some individuals. I agree to inform Joanna Tholstrom of any known allergies, sensitivities, or concerns and understand that I may decline the use of essential oils at any time.
I understand that some essential oils may continue to affect the skin or body after the session and that it is my responsibility to follow any guidance provided regarding dilution, topical use, and sun exposure.
I release Joanna Tholstrom and Nyhavn, LLC from responsibility for reactions or effects that occur during or after participation related to my use or misuse of essential oils.
Touch Acknowledgment
I understand that optional, consensual touch may be offered for grounding or support. I may decline touch at any time, verbally or non-verbally, and my boundaries will be respected without question.
Group Setting & Confidentiality
I understand that some experiences may take place in a group setting. While confidentiality is strongly encouraged and upheld within the container, I acknowledge that Joanna Tholstrom and Nyhavn, LLC cannot guarantee the actions, words, or disclosures of other participants.
All personal information I share will be held confidential by Joanna Tholstrom except in situations where there is concern for my safety or the safety of others, in which case appropriate steps may be taken.
Assumption of Risk & Release of Liability
I recognize, understand, and voluntarily assume all risks associated with my participation, including but not limited to emotional release, intense physical sensations, fatigue, dizziness, and personal injury.
In giving my informed consent, I hereby release, waive, and discharge Joanna Tholstrom and Nyhavn, LLC, along with any assistants, collaborators, or venue hosts, from any and all claims, liabilities, demands, or actions—present or future—that may arise from my voluntary participation.
I understand that results are not guaranteed.
Intellectual Property Acknowledgment
I acknowledge that all practices, teachings, language, materials, frameworks, and methodologies shared through experiences, classes, sessions, workshops, immersions, and trainings offered by Joanna Tholstrom / Nyhavn, LLC (including Embodied Emotions™) are the intellectual property of Joanna Tholstrom / Nyhavn, LLC.
For experiential offerings, classes, workshops, or sessions:
Participation is for personal use only and does not grant permission to teach, reproduce, distribute, or facilitate this work, in whole or in part, without explicit written consent.
For immersive trainings or facilitator trainings:
Completion of a designated immersion or training may grant permission to teach and facilitate this work with clients or groups, as outlined in the description of that specific program.
In all cases, participation does not grant permission to train, certify, license, sublicense, or teach others how to teach this work, nor to reproduce or distribute training materials, without explicit written consent.
Any future certification, licensing, or advanced training pathways will be governed by separate agreements.
Cancellation Policy
I understand that 24 hours’ notice is required for cancellations or changes to scheduled appointments. Less than 24 hours’ notice may result in a charge up to the full session price, at the discretion of Joanna Tholstrom.
Due to the nature of immersive programs, all payments are non-refundable within 21 days of the program start date. Cancellations made prior to this period may be eligible for a refund at the facilitator’s discretion. Deposits are non-refundable.
Client Responsibility
I understand that it is my responsibility to:
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Communicate any intentions, goals, or areas I wish to explore
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Disclose any medical or psychological conditions that may affect participation
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Care for my own well-being during and after sessions
Payment is due in full at the time of service for both services and products.
Acknowledgment & Agreement
By signing below, I acknowledge that I have read, understood, and agree to the terms of this Informed Consent & Participation Agreement. I participate voluntarily and fully assume all risks associated with my participation.