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.
Wow, what an awesome post! It spoke to me on a deep (dare I say rooted) level. I have struggled with the high highs and low lows, to the point I feel whipped. With some work and focus on being more objective about what is working, I hope it will keep me moving in the right direction. Thanks so much Jacob and Iris.
Love this post/video! I just recently made a "What do I like to do?" list, and I make sure I carve out time to do things I enjoy every day. And now this "When Life Works" list is the perfect addition to my other list (I love lists, can you tell?) so I make sure I get those fundamentals in everyday as well. What perfect timing! (I always feel so in sync with Sensophy! haha) It's little steps like these that help get you to that happy place, and like you said, Jacob, "Happiness leads to success!" Much thanks and love! xoxo
I needed to hear this today. I printed it off for me and I'm going to fill it out now 🙂
Thanks. I appreciate your video today. It resonates for me. nYou both rock. Jeff
Glad to hear it, Jeff! n nI think they rock too 🙂
I definitely experience this all of the time. I will start focusing on tuning into those things which really 'make life work' for me. Could we see what a day in the life of Jacob is like?
At this point in the day, it's watermelon, shower, nap time. Anything specifically you're interested in knowing?
I'm loving this video! nOn my 'when life works' list: doing a different job every single day! last weekend, working on a awesome festival dressed in suit checking vip wristbands, today working as a light engineer in a theatre, tomorrow service & crowd control at a Concert, friday at home editing a short film for WWF, saturday musician on a vikingmarket, sunday as a traffic guard during a soccer game and next monday working in europe biggest tv broadcast studio. Every day is exciting, meeting lot's of beautiful and inspiring people, travel to different locations, learning and experiencing new things. nI started out listening to other people telling me I had to focus on one job after my bachelor to make a career: I tried it and it didn't make me happy. I realized I had to stop trying to be what others thought I was… I had to take back the responsibility over my own life and start listening to my own inner voice! Happiness comes from within 🙂 nI guess life is full of surprises.. I Never ever ever could have imagined I actually would love to work in the rain as a traffic guard, but for some unknown reason this job gives me so much pleasure! >x<
Wow, Chantal! Sounds like you're up to some pretty diverse things over there. I guess they do say that variety is the spice of life 🙂 And if it's working so well for you, all the better! n nThanks so much for sharing 🙂 Glad you enjoyed the video.
Glad you appreciated it, April! 🙂
Thank you Jacob and Sensophy! What's on my List right now: nOil Pulling, exercise, meditation/prayer, eating clean, shower, get creative, Philosophers Notes/Daily Love with Journaling and protein powder green drink. 🙂
I love your list, Amy! So much goodness on there. I feel better just reading it 🙂 n nI've always been curious about oil pulling… I think I should do some more research into it.
Our pleasure! :o)
Hehe… Me too! n
Yayuh!
Hehehe… Yayuh!
[…] you can use all the time to limit those high highs and low lows and keep life ticking over. The “When Life Works” list is all about keeping track of the things that make us feel good on a consistent basis so we can […]
I really enjoyed the video and I love the root system analogy for fundamentals! nWhen life works I am: n-eating nutrient dense plant based food n-exercising n-being kind and loving to my husband n-being kind and loving to my pets n-avoiding judgmental thoughts n-keeping my home clean n-playing with the dogs n-keeping a daily gratitude log n-going out of my way to be kind
I've been doing my inner work for a while now and was in a low low place, ready to think it was all stupid and not working. But then I accidentally found your site and got my inspiration back. nWhile I was listening to your awesome video I discovered that I'm already doing a few things I love every day. For instance I meditate every day before bedtime when everything is quiet and calm and I'm really looking forward to just that moment every day. nIn the mornings I usually read newspaper when having breakfast. One day I thought – news really sucks. They're always saying what people have done wrong and what kind of accidents have happened. So I stopped reading my usual newspaper and started reading only good news every day. It makes me feel really good in the mornings to find out how many good people there are worldwide. nNow I just have to complete my list with other things including writing a diary, drawing small cute pictures to myself, reading an interesting book, going for walks (preferably in nature), listening to my favorite music and making jokes that make my loved ones laugh.
[…] Change happens one person at a time. And although we’ve had our fair share of drunken nights, we value our health and make THAT a priority (consistency on our fundamentals). […]
[…] you can use all the time to limit those high highs and low lows and keep life ticking over. The “When Life Works” list is all about keeping track of the things that make us feel good on a consistent basis so we can […]