I acknowledge that Somatic BreathworkTM is a deep and powerful process. I have notified the practitioners of any physical injuries, mental or psychological conditions I have. I engage in this experience willingly and take full responsibility for my own physical, mental and emotional experiences during and after the session.
Somatic BreathworkTM is intended as a personal growth experience and should not be looked upon as a substitute for psychotherapy. It is not appropriate for pregnant women, for persons with cardiovascular problems, including angina or heart attack, high blood pressure, glaucoma, retinal detachment, osteoporosis, history of seizures, stroke, major psychiatric conditions, recent surgery, acute infectious illness or epilepsy. If you have any doubt about whether you should participate, please consult with your primary care physician. Persons with asthma should bring their inhaler and consult with their primary care physician.
I hereby grant permission to Somatic BreathworkTM, the rights of my image in video or still, and of the likeness and sound of my voice as recorded on audio or video. I understand that my image may be edited, copied, exhibited, published or distributed, and waive the right to inspect or approve the finished product wherein in my likeness appears. Additionally, I waive any right to royalties or other compensation arising or related to the use of my image or recording. I also understand that this material may be used in diverse educational settings or social media platforms within an unrestricted geographic area.
I hereby release and hold harmless practitioners of Somatic BreathworkTM from any and all results, that arise during or from the Somatic BreathworkTM. I waive all rights under law regarding the same. I or my representative(s) agree to full release and hold practitioners of Somatic Breathwork harmless from and against any and all claims or liability of whatsoever kind or nature arising out of or in connection with my session(s).
Attestation of good health:
I hereby confirm that I have read and understood the above information and attest that my general health is good to participate. By checking this box you agree to the terms and conditions above. If you have any questions please contacts us