Consent Form & Refund Policy

Renewal: The Autumn Session, in person

Refund Policy:

I fully understand and accept that by signing this form I am waiving my right to have a refund for the course. I understand that I must cancel my membership 2 weeks prior to the start of each Session n order to receive a refund less $75. processing fee.

I understand that there will be 4 in person meetings - October 2nd, 9th, 23rd, & 30th. Meetings will be held at Full Moon Acupuncture & Apothecary: 3408 Chestnut Avenue, 21211. Meeting times are 6-8pm and depending on the size of the group, we may end before 8pm.

Medical Treatment:

I recognize that Renewal: 28 Days of Seasonal Nourishment & Ritual is not a substitute for a medical doctor and/or mental health specialist.

I understand that Martha R. Rogers and/or Full Moon Acupuncture & Apothecary does not suggest that I discontinue medical and/or mental health treatment. I understand that if I am currently under a physician’s care, I should continue as long as I and my physician deem necessary. It is my responsibility to consult with my physician before altering any medications or medical treatments.I am free to consult a medical doctor or any other licensed practitioner any time.

By voluntarily signing this form, I hereby consent to participation in Renewal: The Autumn Session.

Please sign below.