Please read and agree to the following before taking part in a breathwork session, whether 1:1 or in a group.

1. I understand that even though I have agreed to participate in this session, I am responsible for any consequences resulting from my breathwork practice.

2. I certify that I have sought medical advice regarding any physical, mental, or emotional condition that may impair my judgement or affect my physical health, and that I am able to undertake breathwork safely.

3. I understand that conscious connected breathwork is contraindicated for certain conditions, including cardiovascular disease or heart conditions, uncontrolled high or low blood pressure, aneurysm, epilepsy or a history of seizures, glaucoma or retinal detachment, psychosis, schizophrenia or bipolar disorder in an active phase, recent surgery, severe respiratory conditions, severe osteoporosis, and acute infectious illness. I have read the contraindications list and will tell the facilitator if any of these, or anything similar, applies to me.

4. Medication. If I am taking any medication, I will tell the facilitator before the session. This includes antidepressants, antipsychotics, benzodiazepines, mood stabilisers, and beta blockers. I understand this is not an automatic exclusion, and that the facilitator needs to know in order to hold the session safely.

5. Recreational substances. If I have used any recreational substances in the past week, including psychedelics, MDMA, ketamine, cannabis, alcohol, I will tell the facilitator before the session.

6. Pregnancy. If I am pregnant, or think I may be, I will tell the facilitator before the session. I understand that conscious connected breathwork is not practised during pregnancy, and that my session will be adapted to a gentler breathing technique.

7. I understand and acknowledge that a breathwork session:
a) is not intended to replace any relationship with my doctor or primary healthcare provider;
b) is not medical advice or a substitute for medical or psychological care, and is not to be relied upon for prescriptions, recommendations, diagnosis, or treatment of any health problem or disease.

8. I understand that while every care is taken, the facilitator will not be liable for any damage or injury resulting from my practice.

9. I understand that by undertaking breathwork practices, I am doing so at my own risk. I voluntarily agree to this release and waiver with this understanding.

10. For group sessions, I agree to keep all information shared in the group confidential. I will not discuss the identity, identifying information, or experiences of any other participant outside the group. I am welcome to speak about my own experience.

11. I confirm that the information I provide on this form is accurate, and I will tell the facilitator if anything changes before my session.