Breathwork Waiver Form
Please read and agree to the following waiver and release form in order to participate in the Breathwork session.
1. I understand that even though I have agreed to participate in the session, I am responsible for any consequences resulting from my Breathwork practice.
2. I certify that I have sought medical advice regarding any physical, mental, or emotional condition that may impair my judgment or have any effect on my physical health, and I am unable to undertake Breathwork.
3. I understand that medical conditions such as schizophrenia, bipolar disorder, epilepsy, heart conditions, extremes of blood pressure, aneurysm, recent abdominal surgery, and delicate or early pregnancy can be contraindications to Conscious Connected Breathwork.
4. If I am taking any strong medications or have any medical conditions, I must discuss them with the facilitator before attending the event.
5. I understand and acknowledge that a Breathwork session:
a) Is not intended to replace any relationship with my medical doctor and/or primary health care provider(s).
b) Is not intended to constitute medical advice or a substitution for medical care; it is not intended to be relied upon for prescriptions, recommendations, diagnosis, or treatment in relation to any health problem or disease.
6. I understand that while every care is taken, the facilitator will not be liable for any damage or injury resulting from my practice.
7. I understand and acknowledge that by undertaking Breathwork practices, I am doing so at my own risk. I voluntarily execute this release and waiver with this understanding.
8. I request that all information discussed in the group be kept confidential. This means that I may not discuss the identity, identifying information, or reactions of any member of this group with anyone outside of the group. I may talk about my own personal reactions and am even encouraged to do so outside of the group, but not others' identifying information or reactions.
By confirming below, I am agreeing to these terms.