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.
Yes, ahem….I have tried to resist telling my adult daughter what she should do…it works most of the time, but then there is the stress monster that turns my head around…Fortunately she puts me in my place and I try to retract, and things are back on an even keel. It is so hard to keep my mouth shut! Do you have any ideas how that would become more do-able?
“The stress monster!!!”
Love your playfulness when talking about it, Elizabeth!
Here’s what I’d suggest:
1. Notice “the stress monster” when it starts talking!
2. Welcome it! Tell it “yo, yo, whadddddup!!!” or “hello” or “hey” in whatever way is authentic to you.
3. Step back from the situation – AND – take 6 deep breaths…. inhaling for 4 seconds and exhaling for 6 seconds. (That’s 1 minute total.) This will help regulate your nervous system, taking you out of fight-or-flight mode, and bringing more safety into your body. Once your body feels safer, you’ll be able to see things more clearly. I’ll save the neuroscientific evidence of this for another time!
4. Thank “the stress monster” for coming up, and ask it, “what need of yours isn’t being met?” AND THEN, ask it “how would like me to get you that need met for you?” It might try to convince you “the need” it has can only be met thru something external (get my daughter to do X, get people to respect me, get that person to apologize). But don’t fall for it. It’s your job – Elizabeth – to help the stress monster feel safe and taken care of again. You’ve gotta be the one to get it’s need met (and, you can enroll the help of others, but never make it someone else’s job).
5. Give yourself a pat on the back and celebrate that you’re attempting this process – even if things aren’t suddenly perfect or if you’re not sure you did it right!
6. Rinse and repeat as necessary!
Oh, yes, thanks for the reminder!!!
You’re welcome! 🙂
Hi Jacob,
So I am new here and enjoy your blog a lot. And appreciate the commentary re: the futility of changing people. (More accurately, the futility of TRYING to change people ☺)
The reason I am writing today is first of all to say that I find your writing style very readable, and your thoughts instructive. ☺
However, I feel uncomfortable with profanity as a form of expression in this venue (in most venues actually). Using the f word just seems unnecessary.
Additionally it obscures the meaning of the text (is it being used as a verb or as part of an adjective phrase, (not too good on grammar specs, is this called an adverb?) you get the idea of the diverse ways this could be problematic.
Peace `°•~☆♡☆~•°`
Hi Jacob
Very interesting piece and I just had to write in. Ok so you mentioned putting boundaries in place. Please explain about that and what kind of boundaries are necessary. I have a big problem with a family member who has been the same for years. She is unhappy within herself and puts me down a lot. Never apologises or wants to discuss the toxicity that exists in our family. I currently live with her and am planning to move out. She talks about me to my sisters, daughter, disrespects me in front of them. How can I accept her the way she is? I simply cannot.
Hey Louise!
Ouch. That’s not fun!
I’ve heard it said:
“What you put up with… you end up with!”
If I was coaching you, I may curiously ask you something like:
“In what ways you do enable this situation to continue to happen?”
…and I’d have you come up with 5-10 ways.
…without blaming yourself (or your sister).
We can’t control others. But we can always take personal responsibility for our experience of life.
Big hug!
Great post. On the same page. Here’s my recent blog post. http://wp.me/p41Ncm-ag
Nice, Cheryl. 🙂
I definitely suffered from this for many years. Yet I thought I was trying to change them, because I have discovered something that helped me. Of course, people were resistant to my advice.
Now I am able to do exactly what you said, accept people as they are. And I believe it came from finally accepting myself.
Nevertheless, you’re pointing to the source of resistance of others: if people feel accepted they feel safe. This is a great idea and thanks for sharing it.
Love your insight about accepting yourself, Adriana!
In my eyes, I perceived my behavior as trying to be a good influence on others. I didn’t see it as “trying to change someone”. As I looked more inward and tried to see it from THEIR perspective, it really had more of a negative effect than the positive one that I hoped for. For example, I was seeing that my sister’s bad behavior was going to be a long-term hinderance on her life and I wanted to tell her that if she continued down this path, there could be undesirable consequences in her future. This did not go over well for our relationship and she holds a certain disdain towards me. We are cordial with each other, but it’s not the sort of relationship that I want for us. We are continuously working on it, growing into ourselves and understanding each other better, but we still have a ways to go…
I have a ways to go with MYSELF. Acceptance is key.