Waiver and release

Please agree to the following waiver and release form in order to participate in
the Breathwork session. 
  • I understand that even though I have accepted as a participant, I am responsible for any consequence resulting from my Breathwork practice

  • I certify that I have taken medical advice relating to any physical, mental, or emotional condition that may impair my judgement or have any effect on my physical health and am unable to undertake Breathwork

  • I understand that medical conditions such as schizophrenia, bipolar, epilepsy, heart conditions, extremes of blood pressure, aneurysm, recent abdominal surgery and delicate or early pregnancy can be contraindications to conscious connected Breathwork

  • 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

  • I understand and acknowledge that an Ignite Your Being session a) is not intended to replace any relationship with my medical doctor and /or             primary health care provider(s) and b) 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

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

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

  • I ask that you keep all information discussed in the group confidential. This request means that you may not discuss the identity or identifying information or share the reactions of any member of this group with anyone outside of the group. You may talk about your own personal reactions and are even encouraged to do so outside of the group, but not others identifying information or reactions. By confirming below you are agreeing to these terms

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