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INNER EARTH BREATHWORK PARTICIPATION WAIVER

This waiver is a legal document designed to outline the terms and conditions for individuals participating in Ritual Breathwork.  This comprehensive waiver serves to inform participants of the inherent risks associated with breathwork practices and ensures that they understand and accept personal responsibility for their involvement.

By signing this waiver, participants acknowledge their commitment to the following safety guidelines, disclosing relevant health information, and engaging in the training with a full understanding of its potential physical, mental and emotional impact.  This document is a crucial step in fostering a safe and transparent healing environment, promoting the well-being of each participant throughout their transformative journey.

I acknowledge that Ritual Breathwork is a deep and powerful process.  I have notified the practitioner(s) 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.

CONTRAINDICATIONS

Ritual Breathwork 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.

RELEASE

I hearby release and hold harmless Chris Pelczarski and Inner Earth Breathwork from any and all results that arise during or from participating in Ritual Breathwork.  I waive all rights under law regarding the same.  I or my representative(s) agree to full release and hold Chris Pelczarski and Inner Earth 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.