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Inquiry Form

Welcome to Janna Sur Terra

In-Person Experiences

Group Sessions:
Group Sessions:

Online Experiences

What best describes your intention for joining?
(Select all that apply)

Please disclose any health conditions or concerns that we should be aware of to ensure a safe and comfortable experience for all participants. (Example: pregnancy, heart conditions, recent surgeries, injuries, or any other medical concerns. For cancer diagnosis please share with us the type of cancer, stage, treatment ,any limitations/side effects or any additional information that we should know about).

Consent & Liability Acknowledgement(Required)

By participating in any service offered by Janna Sur Terra, I acknowledge that my involvement is entirely voluntary and that I may withdraw at any time without consequence.
I understand that these holistic services—including but not limited to yoga, meditation, sound healing, coaching, and retreat experiences—are intended to support emotional, physical, and mental well-being. They are not a substitute for professional medical treatment or psychological therapy.
I affirm that I am physically and mentally fit to participate, have disclosed any relevant health conditions, and have consulted a healthcare provider if necessary. I understand that these practices may involve physical movement, energetic shifts, or emotional release, and I accept full responsibility for my well-being throughout.
I hereby release Janna Sur Terra, its facilitators, partners, and affiliates from any liability related to discomfort, injury, or illness that may arise during or after participation. This release also extends to any incidents, losses, or personal risks associated with travel to and from retreats, sessions, or events, including transportation, accommodation, or third-party services.
I understand that all personal information shared will be kept strictly confidential. In group sessions, I agree to honor the privacy and confidentiality of fellow participants.
By submitting this form, I confirm that I have read, understood, and agree to the terms above, and I give my full informed consent to receive services either for myself or on behalf of a family member or friend.

Preferred Method of Contact: