Understanding Breathwork
Breathwork uses intentional breathing practices that may create physical and emotional responses. Experiences vary from person to person and may sometimes feel intense.
Participation is voluntary. You are encouraged to listen to your body, participate at a level that feels appropriate for you, and slow down or stop at any time.
Health & Safety
Breathwork intentionally changes your normal breathing pattern and can create physical and emotional responses. These may include lightheadedness, dizziness, tingling sensations, changes in body temperature, muscle tension or cramping, and strong or unexpected emotions. Other responses may also occur.
Breathwork may not be appropriate for everyone. Certain health conditions, medications, pregnancy, recent injuries or surgery, or other circumstances may affect whether Breathwork is appropriate for you.
If you have questions or concerns about whether Breathwork is appropriate for you, please consult an appropriate licensed healthcare professional before participating.
If you experience unusual or concerning symptoms during Breathwork, stop participating and seek appropriate assistance.
Your Responsibility
By choosing to participate in Breathwork, you acknowledge that:
• You are participating voluntarily.
• You understand that Breathwork can create physical and emotional responses and that you are choosing to participate with that understanding.
• You are responsible for deciding whether to participate and for slowing down or stopping if continuing does not feel appropriate for you.
• You will choose a safe and comfortable place to lie down and follow the Breathwork instructions provided.
• You will consult an appropriate licensed healthcare professional before participating if you have questions or concerns about whether Breathwork is appropriate for you.
Scope of Our Services
Center for Inner Healing and Balance and its practitioners are not acting as physicians, psychologists, or other licensed healthcare professionals when providing Breathwork services.
Breathwork is offered for personal growth and well-being. It is not intended to diagnose, treat, cure, or prevent any medical or mental health condition and is not a substitute for appropriate medical or mental health care.
Assumption of Risk & Release
I understand the potential physical and emotional responses and risks of Breathwork described above. I also understand that not every possible response or risk can be anticipated.
I knowingly and voluntarily choose to participate in Breathwork and accept the risks associated with my participation.
To the fullest extent permitted by applicable law, I release and hold harmless Center for Inner Healing and Balance, its owners, practitioners, employees, representatives, and agents from claims arising from my voluntary participation in Breathwork, except to the extent that a claim cannot legally be waived or released.
Personal Property
I understand that I am responsible for my personal belongings while participating in in-person Breathwork activities. CIHB is not responsible for lost, stolen, or damaged personal property except as otherwise required by law.
Future Breathwork Participation
This agreement applies to my future participation in Breathwork activities provided by Center for Inner Healing and Balance unless CIHB asks me to complete a new agreement or applicable law requires otherwise.
I understand that my health and circumstances may change, and I am responsible for considering my current health and circumstances before each Breathwork experience.
Governing Law
This agreement is intended to be governed by applicable Arizona law.
Severability
If any part of this agreement is determined to be invalid or unenforceable, the remaining portions will continue to apply to the extent permitted by law.
Acknowledgment
By checking the box below and submitting this form, I acknowledge that:
• I have read and understand this agreement.
• I understand the potential physical and emotional responses associated with Breathwork described above.
• I understand that other responses or risks that cannot be anticipated may also occur.
• I understand that participation in Breathwork is voluntary and that I may slow down or stop at any time.
• I understand that if I have questions or concerns about whether Breathwork is appropriate for me, I should consult an appropriate licensed healthcare professional before participating.
• I voluntarily choose to participate and accept responsibility for my choice.
I agree to the Breathwork Waiver & Acknowledgment.