Breathwork Liability Waiver
Release of Liability, Waiver and Assumption of Risk Agreement
In consideration of being allowed to participate in Breathwork, as well as activities with SENSOPHY, (hereinafter collectively “the Activities”) I hereby acknowledge, understand and agree to the following:
Breathwork may result in dramatic energetic, physical and emotional release. It is not recommended for persons with a history of cardiovascular disease, those with cardiac arrhythmia (including slow heart rate), history of heart block, epileptic seizures, retinal detachment, high blood pressure, glaucoma, significant recent physical injuries or surgery.
Breathwork is not recommended for persons with extreme mental illness, or for persons using antipsychotic medications or history of aneurysms. Both persons with asthma and women who are pregnant are advised against practicing until they consult with their primary care physician.
(1) I HEREBY RELEASE, INDEMNIFY, AND HOLD HARMLESS SENSOPHY and its employees, agents, representatives, team members, as well as its owners, principals, and representatives (hereafter collectively “SENSOPHY RELEASEES”), WITH RESPECT TO ANY AND ALL INJURY, whether physical, mental, psychological or emotional, or ANY LOSS or DAMAGE to PERSON or PROPERTY, of any kind, WHETHER ARISING FROM THE NEGLIGENCE OF SENSOPHY RELEASEES OR OTHERWISE, to the fullest extent permitted by law.
(2) I am here to inspire my own personal transformation. I take personal responsibility for my well-being and with respect for myself I gratefully accept control of my choices. My heirs, guardians, legal representatives, and I hereby and forever release, waive, and discharge any claims against, “SENSOPHY RELEASEES” and/or any of their associates or affiliates. I take full responsibility and am responsible for all liability for loss or injury incurred while in association with the Activities.
(3) I agree to defend, indemnify, and hold harmless SENSOPHY RELEASEES for all costs and expenses, including but not limited to all legal fees incurred by SENSOPHY RELEASEES in defending any claim brought against any or all of SENSOPHY RELEASEES.
(4) I fully understand that there are physical and inherent risks involved in the Activities, including the risk of serious injury and death. I fully assume all risks associated with the Activities, including: intensive activity and exertion, causation or aggravation of a physical injury or medical condition, lack of warnings or inadequate warnings; lack of instructions, inadequate instructions, or my failure to follow instructions. I am fully aware of and accept the risks and hazards involved, and agree to assume full responsibility for any risks, conditions, injuries or damages, known or unknown, which I might incur or aggravate as a result of my participating in the Activities.
(5) I understand that it is my responsibility to consult with a physician prior to and regarding my participation in the Activities. I represent and warrant that I am physically, mentally and emotionally fit and I have no medical condition that would prevent my full participation in the Activities and that I will fully inform SENSOPHY RELEASEES if I feel any pain or discomfort or have any medical or pre-existing condition that would prevent my participation or increase the likelihood of injury.
(6) In consideration of being permitted participation in the Activities, classes, workshops or programs offered by SENSOPHY RELEASEES, I agree to assume full responsibility for any risks, injuries or damages, known or unknown, which I might incur as a result of participating in the Activities.
(7) In further consideration of being permitted to participate in the Activities, I knowingly, voluntarily and expressly waive any claim I may have against SENSOPHY RELEASEES for injury or damages that I may sustain as a result of participating in the Activities now and in the future.
(8) I agree to comply with the stated and customary guidance and norms of participation in the Activities.
(9) If I am pregnant or am post-natal, I will not participate in the Activities without first discussing the risks with my primary care physician, and I will only participate in the Activities if I have my doctor’s full approval. I will not hold the SENSOPHY RELEASEES responsible for any injuries to my pregnancy caused in part or in whole by my failure to follow my doctor’s recommendation.
(10) I hereby forever and irrevocably waive and release any and all claims I now have or may in the future have against SENSOPHY RELEASEES with respect to any injury, loss or damage I suffer as a result of participating in the Activities. I understand and agree that this Release of Liability, Waiver and Assumption of Risk Agreement extends to and includes any and all damages, injuries, and claims which I do not anticipate or know to exist and to any and all damages, injuries, or claims which may develop in the future, and I hereby expressly waive and relinquish any and all rights under any law or statute to the contrary.
(11) I understand that this waiver can be used for future classes, workshops or programs with SENSOPHY RELEASEES.
(12) If participant is under the age of 18, I as a LEGAL GUARDIAN CONSENT TO THE ABOVE TERMS AND CONDITIONS.
(13) I have carefully read this agreement and fully understand its content. I am aware that this is a waiver and release of potential liability and a contract between the above noted parties and myself. I understand that this contract is binding and acknowledge that I am signing this of my own free will, voluntary without any inducement. I understand that there exist known and unknown dangers of serious injury and death associated with the Activities, some of which are referenced above, I nevertheless choose to participate in the Activities and have waived all right to maintain suit against any of SENSOPHY RELEASEES.
By ticking the box, you are indicating that you understand all of the information above and are in agreeance with it.
Love the hustle, baby! Saw the tweets, tweeted my own 2 cents, and loving the dilligence, patience and persistence! Housekeeping: video is set to private, and typo in RESPONSE…other than that sendin' you high fives and knuckle bumps!
Ghettolishous tech support – your salary just got bumped up by 200%. Thank you for everything including your radiant aura from living life with heart. You rock the universe!!
Insert BIG smiley face here …..
You mean like this? =D
Lovin your big smile Jacob on this video….that's major passion shining through so go for it big time!
PS. Super impressed with the room cleaning spray in the background!!!
Here's to crushin' it with Gary V
xoxo
Hahaha – if you wanna live a life of transparency, being clean is a must! Cheesing it up over here now. Thanks for all the support homegirl and im looking fwd to selling your movie on Sensophy when it debuts!
Okay seriously Big GRIN :). Just watched your video and you had me laughing all the way through. Loved the realism and humor :)! Go Jacob!
Good looks Melly Mel… More to chat about on Wednesday – yap soon sis!
OH, MY, ACTIONATED!! P's up on the Sensophy forums??? Let. Me. Find. Out.
Yo, i got you on Crush It. I got you on a copy of my notes from Crush It. I got you on an in-depth discussion about the philosophy behind Crushing It. You got me on a ticket to the Jets game with Gary?
Thanks for the heads'up about the CNN chat. Thats good stuff.
Good luck Jacob! I am much inspired by your will and spunk… You can do it!!
Sweeeeet! Good looks Jenna… I appreciate your support and LOVE that you're a bit inspired on the Sensophy side of town. Chat soon -=)
Gary V. is in for a HUGE SHOT of 100% pure, athentic, unadulterated, Jacob S…..what more could he ask for? I will work out…why wouldn't it?
I loved your responce, so honest, so funny.
love and light!
Carolyn, i read this today when i was waiting on line at Trader Joes and busted out loud laughing aloud. This brought a HUGE smile to my face. Great idea and i love your creativity -=)
This is. A mench test. Wonder if this guy’s the mench he proclaims to be.
Time will tell… gotta' go with trusting my gut!
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Just going to Jets game is one of my goals, but to go with Gary V is pretty cool. Hope you like football now.
Ohh, great blog btw, I'm a newbie blogger and enjoy reading about other people enjoying life and making a little scratch from it.