INFORMED CONSENT RETREAT - Seeds for your mind, body & heart.

Informed consent
A Lotus Seed Retreat
We ask you to read this with attention. We value a positive group atmosphere with respect and trust. A mindfulness retreat is a skills training, it is not a therapy group. Because it is training that also has an impact on mind, body and brain, it is important for us and for you to be aware of your physical and mental health. We therefore ask that you do not leave out important information in the registration form and that everything is as complete as possible. Thank you 💛 🙏

Informed consent

While attending A Lotus Seed Retreat, your well-being and safety is important to us.
The team is there to facilitate only. We ask you to monitor your own physical and
emotional wellbeing during our events. By attending any of our events, you agree by
the below statements:

I am participating to a Lotus Seed Retreat and the program of my own free will and
accept total responsibility for my physical and emotional wellbeing at all times.

I am in good state emotional, mental and physical health. I am fully
responsible for all the emotions that I bring to any of the events.

• I am not under the influence of any drugs, medication or alcohol. If I am taking
medication, I declare that I have informed A Lotus Seed organization in written
through the sign-up form. I declare I will not discontinue the
medication treatment before, during or after the retreat. I have been seen by a
medical practitioner and have been advised that my participation in A Lotus
Seed Retreat, will not cause me harm of any way (to myself or anyone else).

• I understand that A Lotus Seed Retreat and the mindfulness-compassion-yoga
program is not a substitute for psychiatric or medical advice, diagnosis, and
treatment of any type. Always seek the advice of your physician or other
qualified mental health provider with any questions you may have regarding a
medical or mental condition. Never disregard professional medical advice or
delay in seeking it because of something you have read on our site, articles,
email or during any of our events.

• I take full responsibility for seeking medical treatment, counseling or psychotherapy
at my own cost for any emotional issues that arise during or after the event.

• I know that the program on the retreat is a skills-training in meditation, positive
psychology, compassion, and mindfulness techniques and yoga. I understand
that in case I feel the inability, or I think that it is not advisable, to make use of
the techniques or exercises in this training program, I can simply decide to
dispense or not participate to the exercises. I understand that I cannot put A
Lotus Seed, or the trainers, accountable for any negative consequences.

• If at any time during the event you become distressed and emotionally
overwhelmed, I will inform one of the facilitators and leave the room if I feel the
necessity.

We are all here to learn more about holistic healing together as a team, and we will
encourage each other to create an environment conducive to learning. To have a
constructive and useful outcome to our events (classes/ retreats), I will work
with the group to achieve that.

• I will do my best to be honest and true to self and others. I will be non-judgmental
when commenting, have respect for my own and other experiences, needs and
priorities and expect the same in return.

• I will express any issues or concerns that I have about the event (course/ retreat),
content or processes to the team members rather than keeping silent or only
talking to other participants.

• The personal feelings expressed by others in the event (course/ retreat) are kept in
confidence. It is crucial that you maintain the confidentiality hence:
• Any information that is discussed by the group is kept private.
• I will not directly or indirectly communicate or disclose in writing or orally or
in any other manner, any information that is stated by another member
of the group during or after the event.
• I will always talk from the first person from ‘I and my’ during sharing
experience and discussion.
• I will use the information presented during this event to assist me in creating
change in my life and for no other purpose and I am responsible for decisions
made or action taken to implement such information, mentoring or guidance.

I informed A Lotus Seed and the team members in advance in case that I have a special diet. I
understand that A Lotus Seed will not assume any liability for
adverse reaction to foods consumed.

I understand that the course materials provided (booklet, audio mp3’s) are free to download for
my own purpose. I understand it is not allowed to use any of these materials/texts/audio outside
of private use, or distribute, share or send it to others.

Retreat package and Insurance

The package price for the entire retreat includes the entire program tuition (classes
and yoga), and accommodation for the entire duration of the retreat.
The price does not include transportation and transfers to and from the retreat as well
as travel insurances of any kind. Since flights, trains and car rentals are not
included in the price, a personal travel insurance is necessary.

I understand that A Lotus Seed, or its facilitators and trainers, cannot be liable for any
accidents or injuries, or damages, of any kind, which can occur during A
Lotus Seed Retreat.

I understand that A Lotus Seed is no travel agency and I will
therefore ensure to have my own travel insurances. I became aware of the cancellation policies
on the site.
* * * *

I agree with the policy statement of A Lotus Seed: http://www.alotusseed.org?open=privacy-policy

I understand that in case of questions I can always contact:
info@alotusseed.org
+32478135069 (whatsapp)

I have read, understood and agreed with everything that has been written.

I want to join! 🙂

Privacy Statement - English

*** Dutch Statement beneath / Nederlandse versie verder lezen ***

A Lotus Seed, located at Korte Rijakkerstraat 7, 9030 Ghent, Belgium, is responsible for the processing of personal data as shown in this privacy statement and confirms compliance with the European directives regarding compliance with personal data.

Contact details:
www.alotusseed.org - Korte Rijakkerstraat 7, 9030 Ghent, Belgium +32478135069

The responsible data protection of A Lotus Seed can be reached via info@alotusseed.org

Your personal information will be treated confidentially
A Lotus Seed takes the privacy law for the protection of privacy in relation to the processing of personal data very serious. (General Data Protection Regulation). We value the privacy of our customers. The personal information you provide to A Lotus Seed will be treated confidentially.
The data are not passed on, shared or sold to third parties.

Personal data that we process
A Lotus Seed processes your personal data if you use our services and / or by provide this information to us.

Below is an overview of the personal data that we may process in case it is necessary for the delivery of the services and provided by you:
- First and last name
- Telephone number
- E-mail address
- Location data
- Gender
- Birth date
- Address
Special and / or sensitive personal data that we process
A Lotus Seed processes special and / or sensitive personal data about your health when registering an activity. This is to detect any contra-indications to participate in a training or retreat and to refuse participation if we believe that it is not conducive to your health to participate.

For what purpose and on what basis we process personal data
A Lotus Seed processes your personal data for the following purposes:
- Sending our newsletter
- To call or e-mail if this is necessary to carry out our services if you are registered for an activity (request for participation, evaluation contraindications, payment request, practical information, evaluation form, follow-up mails, ...)
- To evaluate your participation request for an activity and refuse participation if we believe that it is not conducive to your health to participate
- Inform you about changes to our services and products
- To deliver goods and services to you

Do you not want to give the mandatory contact details for such activities?
Then we can not automatically validate your registration, since we can not contact you or process your registration. If you do not want to fill this in, please contact us via info@alotusseed.org and we will discuss with you how we can process your registration in a different way.

How long we store personal data
A Lotus Seed does not store your personal data longer than is strictly necessary to realize the purposes for which your data is collected. Your data will be removed from our systems after 5 years of inactivity.

Sharing personal data with third parties
Your details will not be passed on, shared or sold to third parties. A Lotus Seed only provides information to third parties if you have given permission for this (eg in the case of applying for reimbursement insurance) or to comply with a legal obligation.
Cookies, or similar techniques, that we use
A Lotus Seed uses functional, analytical and tracking cookies that are processed by a Strikingly website. A cookie is a small text file that is stored in the browser of your computer, tablet or smartphone when you first visit this website. A Lotus Seed uses cookies with a purely technical functionality. These ensure that the website works properly and that, for example, your preferred settings are remembered. These cookies are also used to make the website work well and to optimize it.

On your first visit to our website we have already informed you about these cookies and we have asked you for permission to place them.

You can opt out of cookies by setting your internet browser so that it does not store cookies anymore. In addition, you can also delete all information previously saved via the settings of your browser.

View, modify or delete data
You have the right to view, correct or delete your personal data. You also have the right to withdraw your consent to the data processing or to object to the processing of your personal data by A Lotus Seed and you have the right to data portability. This means that you can submit a request to us to send the personal information we hold to you or another organization mentioned by you in a computer file.

You can send a request for access, correction, deletion, data transfer of your personal data or request for cancellation of your consent or objection to the processing of your personal data to info@alotusseed.org.

To ensure that the request for access has been made by you, we ask you to send a copy of your ID with the request. Make your passport photo, passport number and national register number black in this copy. This is to protect your privacy. We respond as quickly as possible.

How we protect personal data
A Lotus Seed takes the protection of your data seriously and takes appropriate measures to prevent misuse, loss, unauthorized access, unwanted disclosure and unauthorized modification. If you feel that your data is not properly secured or there are indications of abuse, please contact us at info@alotusseed.org

Thanks for your confidence,
A Lotus Seed.

Privacy Statement - Nederlands

A Lotus Seed, gevestigd aan Korte Rijakkerstraat 7, 9030 Gent, Belgium, is verantwoordelijk voor de verwerking van persoonsgegevens zoals weergegeven in deze privacyverklaring en bevestigd de naleving van de Europese richtlijnen omtrent naleving van de persoonsgegevens.

Contactgegevens:
www.alotusseed.org Korte Rijakkerstraat 7, 9030 Gent, Belgium +32478135069

De verantwoordelijke Gegevensbescherming van A Lotus Seed is te bereiken via info@alotusseed.org
Jouw persoonlijke gegevens worden vertrouwelijk behandeld
A Lotus Seed respecteert de wet op de privacy voor de bescherming van de persoonlijke levenssfeer ten opzichte van de verwerking van persoonsgegevens. (Algemene Verordening Gegevensbescherming). We hechten namelijk veel waarde aan de privacy van onze klanten.
De persoonlijke gegevens die je doorgeeft aan A Lotus Seed worden vertrouwelijk behandeld.
Ze komen terecht in ons eigen informatica bestand en worden niet doorgegeven, gedeeld of verkocht aan derden.

Persoonsgegevens die wij verwerken
A Lotus Seed verwerkt je persoonsgegevens doordat je gebruik maakt van onze diensten en/of omdat je deze gegevens zelf aan ons verstrekt.

Hieronder vind je een overzicht van de persoonsgegevens die wij verwerken indien deze gevraagd worden om de diensten te leveren, en door jou ook gedeeld worden:
- Voor- en achternaam
- Telefoonnummer
- E-mailadres
- Locatiegegevens
- Geslacht
- Geboortedatum
- Adres
Bijzondere en/of gevoelige persoonsgegevens die wij verwerken
A Lotus Seed verwerkt bijzondere en/of gevoelige persoonsgegevens over jouw gezondheid bij inschrijving van een activiteit. Dit is om eventuele contra-indicaties ter deelname aan een training of retraite op te sporen en deelname te weigeren indien wij van mening zijn dat het niet bevorderlijk is voor je gezondheid om deel te nemen.

Met welk doel en op basis van welke grondslag wij persoonsgegevens verwerken
A Lotus Seed verwerkt jouw persoonsgegevens voor de volgende doelen:
- Het afhandelen van jouw betaling
- Verzenden van onze nieuwsbrief
- Je te kunnen bellen of e-mailen indien dit nodig is om onze dienstverlening uit te kunnen voeren als je ingeschreven bent voor een activiteit (aanvraag deelname, evaluatie contra-indicaties, betalingsverzoek, praktische informatie, evaluatieformulier, follow-up mails, …)
- De gezondheidsgegevens worden gevraagd om je aanvraag tot deelname te evalueren en deelname te weigeren indien we van mening zijn dat het niet bevorderlijk is voor je gezondheid om deel te nemen.
- Je te informeren over wijzigingen van onze diensten en producten
- Om goederen en diensten bij je af te leveren

Wil je de verplichte contactgegevens niet meegeven voor dergelijke activiteiten?
Dan kunnen we je inschrijving niet automatisch valideren, aangezien we je niet kunnen contacteren of je inschrijving verwerken. Indien je dit niet wenst in te vullen, neem je best contact met ons op via info@alotusseed.org en dan bekijken we samen met jou hoe we je inschrijving op een andere wijze kunnen verwerken.
Hoe lang we persoonsgegevens bewaren
A Lotus Seed bewaart je persoonsgegevens niet langer dan strikt nodig is om de doelen te realiseren waarvoor je gegevens worden verzameld. Jouw gegevens worden na 5 jaar inactiviteit verwijderd uit onze systemen.

Delen van persoonsgegevens met derden
Jouw gegevens worden niet doorgegeven, gedeeld of verkocht aan derden. A Lotus Seed verstrekt uitsluitend gegevens aan derden wanneer daar door jou toestemming is voor gegeven (bijvoorbeeld in het geval van aanvraag terugbetaling mutualiteit) of om te voldoen aan een wettelijke verplichting.
Cookies, of vergelijkbare technieken, die wij gebruiken
A Lotus Seed gebruikt functionele, analytische en tracking cookies die worden verwerkt door een Strikingly website. Een cookie is een klein tekstbestand dat bij het eerste bezoek aan deze website wordt opgeslagen in de browser van je computer, tablet of smartphone. A Lotus Seed gebruikt cookies met een puur technische functionaliteit. Deze zorgen ervoor dat de website naar behoren werkt en dat bijvoorbeeld jouw voorkeursinstellingen onthouden worden. Deze cookies worden ook gebruikt om de website goed te laten werken en deze te kunnen optimaliseren.

Bij jouw eerste bezoek aan onze website hebben wij je al geïnformeerd over deze cookies en hebben we je toestemming gevraagd voor het plaatsen ervan.

Je kunt je afmelden voor cookies door je internetbrowser zo in te stellen dat deze geen cookies meer opslaat. Daarnaast kun je ook alle informatie die eerder is opgeslagen via de instellingen van je browser verwijderen.

Zie voor een toelichting: https://veiliginternetten.nl/themes/situatie/cookies-wat-zijn-het-en-wat-doe-ik-ermee/

Gegevens inzien, aanpassen of verwijderen
Je hebt het recht om je persoonsgegevens in te zien, te corrigeren of te verwijderen. Daarnaast heb je het recht om je eventuele toestemming voor de gegevensverwerking in te trekken of bezwaar te maken tegen de verwerking van jouw persoonsgegevens door A Lotus Seed en heb je het recht op gegevensoverdraagbaarheid. Dat betekent dat je bij ons een verzoek kan indienen om de persoonsgegevens die wij van jou beschikken in een computerbestand naar jou of een ander, door jou genoemde organisatie, te sturen.

Je kunt een verzoek tot inzage, correctie, verwijdering, gegevensoverdraging van je persoonsgegevens of verzoek tot intrekking van je toestemming of bezwaar op de verwerking van jouw persoonsgegevens sturen naar info@alotusseed.org.

Om er zeker van te zijn dat het verzoek tot inzage door jou is gedaan, vragen wij jou een kopie van je identiteitsbewijs met het verzoek mee te sturen. Maak in deze kopie je pasfoto, paspoortnummer en rijksregisternummer zwart. Dit ter bescherming van je privacy. We reageren zo snel mogelijk, maar binnen vier weken, op jouw verzoek .

Hoe wij persoonsgegevens beveiligen
A Lotus Seed neemt de bescherming van jouw gegevens serieus en neemt passende maatregelen om misbruik, verlies, onbevoegde toegang, ongewenste openbaarmaking en ongeoorloofde wijziging tegen te gaan. Als jij het idee hebt dat jouw gegevens toch niet goed beveiligd zijn of er aanwijzingen zijn van misbruik, neem dan contact op via info@alotusseed.org

Bedankt voor het vertrouwen,
A Lotus Seed.

Informed consentA Lotus Seed Retreat

Informed consentA Lotus Seed Retreat

While attending A Lotus Seed Retreat, your well-being and safety is important to us.

The team is there to facilitate only. We ask you to monitor your own physical and

emotional wellbeing during our events. By attending any of our events, you agree by

the below statements:

I am participating to a Lotus Seed Retreat and the program of my own free will and

accept total responsibility for my physical and emotional wellbeing at all times.

I am in good state emotional, mental and physical health. I am fully

responsible for all the emotions that I bring to any of the events.

• I am not under the influence of any drugs, medication or alcohol. If I am taking

medication, I declare that I have informed A Lotus Seed organization in written

through the sign-up form. I declare I will not discontinue the

medication treatment before, during or after the retreat. I have been seen by a

medical practitioner and have been advised that my participation in A Lotus

Seed Retreat, will not cause me harm of any way (to myself or anyone else).

• I understand that A Lotus Seed Retreat and the mindfulness-compassion-yoga

program is not a substitute for psychiatric or medical advice, diagnosis, and

treatment of any type. Always seek the advice of your physician or other

qualified mental health provider with any questions you may have regarding a

medical or mental condition. Never disregard professional medical advice or

delay in seeking it because of something you have read on our site, articles,

email or during any of our events.

• I take full responsibility for seeking medical treatment, counseling or psychotherapy

at my own cost for any emotional issues that arise during or after the event.

• I know that the program on the retreat is a skills-training in meditation, positive

psychology, compassion, and mindfulness techniques and yoga. I understand

that in case I feel the inability, or I think that it is not advisable, to make use of

the techniques or exercises in this training program, I can simply decide to

dispense or not participate to the exercises. I understand that I cannot put A

Lotus Seed, or the trainers, accountable for any negative consequences.

• If at any time during the event you become distressed and emotionally

overwhelmed, I will inform one of the facilitators and leave the room if I feel the

necessity.

We are all here to learn more about holistic healing together as a team, and we will

encourage each other to create an environment conducive to learning. To have a

constructive and useful outcome to our events (classes/ retreats), I will work

with the group to achieve that.

• I will do my best to be honest and true to self and others. I will be non-judgmental

when commenting, have respect for my own and other experiences, needs and

priorities and expect the same in return.

• I will express any issues or concerns that I have about the event (course/ retreat),

content or processes to the team members rather than keeping silent or only

talking to other participants.

• The personal feelings expressed by others in the event (course/ retreat) are kept in

confidence. It is crucial that you maintain the confidentiality hence:

• Any information that is discussed by the group is kept private.

• I will not directly or indirectly communicate or disclose in writing or orally or

in any other manner, any information that is stated by another member

of the group during or after the event.

• I will always talk from the first person from ‘I and my’ during sharing

experience and discussion.

• I will use the information presented during this event to assist me in creating

change in my life and for no other purpose and I am responsible for decisions

made or action taken to implement such information, mentoring or guidance.

I informed A Lotus Seed and the team members in advance in case that I have a special diet. I

understand that A Lotus Seed will not assume any liability for

adverse reaction to foods consumed.

I understand that the course materials provided (booklet, audio mp3’s) are free to download for

my own purpose. I understand it is not allowed to use any of these materials/texts/audio outside

of private use, or distribute, share or send it to others.

Retreat package and Insurance

The package price for the entire retreat includes the entire program tuition (classes

and yoga), and accommodation for the entire duration of the retreat.

The price does not include transportation and transfers to and from the retreat as well

as travel insurances of any kind. Since flights, trains and car rentals are not

included in the price, a personal travel insurance is necessary.

I understand that A Lotus Seed, or its facilitators and trainers, cannot be liable for any

accidents or injuries, or damages, of any kind, which can occur during A

Lotus Seed Retreat.

I understand that A Lotus Seed is no travel agency and I will

therefore ensure to have my own travel insurances. I became aware of the cancellation policies

on the site.

* * * *

I agree with the policy statement of A Lotus Seed: http://www.alotusseed.org?open=privacy-policy

I understand that in case of questions I can always contact:

info@alotusseed.org

+32478135069 (whatsapp)

I have read, understood and agreed with everything that has been written.

I want to join! 🙂

Informed consent
A Lotus Seed Retreat

Informed consent
A Lotus Seed Retreat