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.
The movie that changed my life was The Matrix. I was profoundly disturbed by this movie. It suggested to me that everything I thought was true might not be,and really put me in an open frame of mind.
In an interesting bit of serendipity, two days later I was introduced to the book “A Course in Miracles” and when I opened it for the first time, this was what I read:
““Be still, and lay aside all thoughts of what you are and what God is; all concepts you have learned about the world; all images you hold about yourself. Empty your mind of everything it thinks is either true or false, or good or bad, of every thought it judges worthy, and all the ideas of which it is ashamed. Hold onto nothing. Do not bring with you one thought the past has taught, nor one belief you ever learned before from anything. Forget this world, forget this course, and come with wholly empty hands unto your God.”
So it would seem that there was something to the message of The Matrix.
Row your boat gently down the stream. Merrily! Life is but a dream!
Ha! “Profoundly disturbed”. Love that, Meg.
The Matrix was a reality-destroyed for me too. 🙂
Still one of my all-time-favs!
Thanks for sharing these! I like to be intentional with what kind of media to stuff into my brain but I love a good quality movie. This is helpful so that I don’t waste time watching crap to find the gems 🙂
And I’ll also be recommending them to my clients too!!
Also, happy belated birthday!
Thx, Mel!
Let me know whatcha think. 🙂
Man you sold me on the second movie! I watched The Matrix again, hadn’t seen it in years. I watched it with the perspective that all of the other characters are different paradigms inside of Neo’s brain. It all is really cohesive and fascinating!
Sounds amazing, dude! May be time for a re-watch for me. 🙂
Happy birthday Jacob!
Two films that come to mind that changed my life are two old Japanese films, one called “Ikiru” and the other is “Tokyo Story”, they are the most amazing stories about the human condition, I can’t recommend them highly enough.
Just watched SuperMensch on your recommendation Jacob, fabulous movie and what a great guy.
Nice! Thx for sharing, Patrick!
I am not much of a movie watcher, but in the past week I had considered looking for Finding Joe, and had actually sat down to seek it out when I noticed your email. Funny how the universe rises up to meet your requests!
Looking forward to some screen time for all three of your suggestions. Thanks Jacob!
Nice blog. Thank you for sharing…….
Great list , I will definitely watch these during weekend.Thanks for sharing.
Turning thirty always seems to be a big deal to everyone. If like me you are stressing about it, read Thirty Days to Thirty. It’s a fictional novel that helps put things into perspectives. http://www.amazon.com/Thirty-Days-Courtney-Psak-ebook/dp/B015C0DNWO/ref=sr_1_1?ie=UTF8&qid=1442423988&sr=8-1&keywords=courtney+psak