Breathwork Participation Waiver and Medical Acknowledgement

1. I understand that even though I have been accepted as a participant, I am responsible for any consequence resulting from any Breathwork practice. 

2. I certify that I have taken medical advice relating to any physical, mental or emotional condition that may impair my judgment, or have any affect on my physical health and I am able to undertake Breathwork. 

3. I understand that medical conditions such as schizophrenia, bipolar, PTSD, epilepsy, seizures, asthma, detached retina, heart conditions, extremes of blood pressure, glaucoma, a history of heart conditions or aneurysm, recent abdominal surgery and delicate or early pregnancy, can be contraindications to conscious connected Breathwork.

4. I understand that if I am taking any strong medications or have any medical conditions then I must discuss with the facilitator before I attend the event.

5. I understand and acknowledge that Breathwork Immersion: - is not intended to replace any relationship I have with my medical doctor and/or primary health care provider(s); - is not intended to constitute medical advice or any substitution for medical care; - is not intended to be relied on for prescriptions, recommendations, diagnosis or treatment in relation to any health problem or disease;

6. I understand that whilst every care is taken, the teacher will not be liable for any damage or injury resulting from my practice.

7. I understand and acknowledge that, in undertaking Breathwork practices I am doing so at my own risk. It is with that understanding that I voluntarily executed this release and waiver.

Please confirm that you have read and understood contraindications and disclosed any existing medical conditions stated above before the session by checking the box above