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Breathwork Waiver 

Please take a minute to complete and sign the following waiver prior to your breathwork session.

Have You Done Breathwork Before?

If you have or had experienced any serious health issues or conditions listed below, please consult your doctor before participating in a breathwork session to avoid any health risks.

 

  • Cardiovascular problems

  • Abnormally High OR Low Blood Pressure

  • Aneurysms

  • Brain Injury- Trauma

  • Epileptic Seizures/seizures in the past

  • Pregnancy- First Trimester

  • Recent Surgery/Upcoming Surgery

  • Glaucoma

  • Chronic Respiratory Illness

  • Severe Mental or Psychiatric symptoms and taking strong psychiatric medications

  • Psychosis or paranoia, bipolar and/or an untreated or inadequately supported mental illness

  • If you have asthma, please bring your inhaler and update the breathing facilitator before your session.

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The above list is not exhaustive and therefore please update your breathwork facilitator, if you have any unusual health condition(s) that do not appear in the above list. You may need to consult a doctor before participating in a breathwork session that activates the sympathetic nervous system.

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Due to limited space and time constraints, refunds will not be issued if you cancel 48 hours prior to a session. We can offer a credit for a future session.
 

I hereby agree to participate in the breathwork session with Lisa Brown. I understand that a breathwork session is not a cure for any health condition.
 

I acknowledge that the person(s) facilitating is not a doctor or psychiatrist, or a specialist in health care, and that breathwork is not intended to treat and diagnose specific medical conditions, whether physical, psychological or emotional. I participate freely and take responsibility for all the known and unknown consequences that may arise from a breathwork session.

 

I acknowledge that Lisa Brown is not a medical doctor, and I, therefore, release her from any responsibility, costs and damages that may arise from my participation in the above activity. 

PHOTO PERMISSION
 

Pictures tell a story, and we would love to share that story within our community and social media platforms. Please let Lisa know if you would prefer not to be in the photos.

Thanks for submitting!

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