Liability Waiver

BREATHWORK LIABILITY WAIVER AND RELEASE

Facilitator: Jen Coles, That Breathwork Girl, Experience Breathwork

I, the undersigned participant, acknowledge that I am voluntarily participating in a Breathwork session facilitated by Jen Coles. I understand that Breathwork is a powerful and generally safe practice that supports emotional, physical, and mental well-being. However, as with any wellness practice, there are important precautions to consider.

This waiver outlines those precautions and ensures that I understand the potential effects of Breathwork, take personal responsibility for my participation, and release the facilitator from liability.

1. Voluntary Participation

I acknowledge that my participation in this Breathwork session is entirely voluntary. I assume full responsibility for my health and well-being throughout the session and agree to follow the instructions provided by the facilitator. I understand that I may modify or discontinue any technique or exercise at any time based on my comfort level.

2. Health and Medical Conditions

I affirm that I am in good health and have no known medical or psychological conditions that would make participation inadvisable. If I have any concerns, I have consulted with a medical professional before engaging in Breathwork.

I understand that if I have any of the following conditions, I must obtain medical clearance before participating:

• Cardiovascular disease, angina, heart attack, or high blood pressure
• Glaucoma, retinal detachment, or osteoporosis
• Recent injuries or surgeries
• A condition requiring regular medication
• History of panic attacks, psychosis, or severe mental illness
• Seizure disorders or a family history of aneurysms
• Frequent dizziness or vertigo
• Pregnancy

By signing this waiver, I confirm that I have disclosed any relevant health conditions and assume responsibility for my participation.

3. Assumption of Risks

I understand that Breathwork may induce various physiological and psychological effects, including but not limited to:

• Emotional Responses: Intense emotions such as joy, sadness, anger, or anxiety may arise and persist beyond the session.
• Physical Sensations: I may experience tingling, muscle contractions, dizziness, or lightheadedness.
• Altered States of Consciousness: Breathwork may result in time distortion, disconnection from reality, or hallucinatory experiences.
• Potential Psychological Effects: The session may surface buried memories or emotions, leading to temporary psychological discomfort.
• Hyperventilation Risks: Deep and intentional breathing can cause symptoms such as dizziness, shortness of breath, or tingling in extremities.
• Physical Fatigue: The session may be physically demanding, and I understand my own limits.

I voluntarily assume all risks associated with participating in this Breathwork session.

4. No Medical or Psychological Advice Provided

I acknowledge that Breathwork is not a substitute for medical or psychological care. The facilitator, Jen Coles, is not a licensed medical or mental health professional, and this session is not intended to diagnose, treat, or cure any medical or psychological condition.

I understand that if I have concerns about my physical or mental health, I should seek advice from a qualified healthcare provider before participating in this session.

5. Confidentiality and Group Agreement (For Group Sessions)

If participating in a group session, I agree to respect the confidentiality and privacy of other participants. I understand that personal experiences shared during or after the session are not to be discussed outside of the group setting.

6. Technology and Online Sessions Disclaimer (For Virtual Sessions)

For virtual sessions, I acknowledge that internet connectivity issues, interruptions, or environmental distractions may impact my experience. I take full responsibility for ensuring I am in a safe, private, and comfortable space for my session.

I release Jen Coles and Experience Breathwork from liability for any technical difficulties or personal experiences during an online session, including any discomfort, injuries, or unexpected reactions that may occur while practicing in my chosen environment.

7. Emergency Situations and Personal Responsibility

I acknowledge that Breathwork can be an intense experience, and in rare cases, participants may experience strong emotional or physical responses.

If at any point I feel unsafe or unwell, it is my responsibility to stop the practice immediately and seek appropriate medical or psychological care.

In the event of a medical emergency, I understand that Jen Coles is not responsible for providing medical assistance or emergency care. I assume full responsibility for my well-being.

8. No Guarantee of Outcomes

I understand that results from Breathwork vary for each participant, and no specific outcome is guaranteed. The facilitator is providing guidance, but my personal experience is unique, and I am responsible for my own interpretations and integration of the practice.

9. Release of Liability

I, for myself and on behalf of my heirs, executors, and assigns, hereby release, waive, and discharge Jen Coles, That Breathwork Girl, Experience Breathwork, and all affiliated facilitators and representatives from any and all claims, liabilities, actions, demands, expenses, or legal rights of action, whether known or unknown, arising out of or in connection with my participation in the Breathwork session.

I agree not to bring any legal claims against Jen Coles or her affiliates for any injury, loss, or damage resulting from my participation.

10. Responsibility for Personal Property

I understand that I am solely responsible for my personal belongings and that Jen Coles is not liable for any lost, stolen, or damaged items during the session.

11. Agreement to Indemnify

I agree to indemnify and hold harmless Jen Coles, That Breathwork Girl, Experience Breathwork, and any affiliated facilitators from any claims, demands, damages, or expenses (including attorney’s fees) that may arise due to my participation in Breathwork sessions.

This includes any third-party claims arising from my actions or experiences during or after the session.

 Acknowledgment and Consent

I have read and fully understand this Liability Waiver and Release Agreement. I acknowledge that by signing this document, I am waiving certain legal rights, including the right to sue.

I sign this agreement voluntarily and with full knowledge of its implications.

By signing electronically, I confirm that I have read, understood, and agree to the terms of this waiver,