Welcome to W4C!

Please read through the information below and feel free to ask your questions about our sessions and/or anything about us. Once you are ready to participate, please sign this informed waiver form below so we will have on our records that you have read the information and that you have been properly informed about the activity/events

CONFIDENTIALITY We respect each and everyone's right to privacy and confidentiality and we shall make sure to maintain it that way. However, please understand that this is not absolute and is limited to provide for by law. Certain limitations are as follows: Threatening one's self or another that may result in physical harm; An act of physical or emotional abuse against a child or any person; Sexual abuse against a child where the child is living with the abuser;Whenever we are summoned by court order to disclose information against a participant. However, we shall notify you and let you exercise your privilege in the right to deny the disclosure of your records with us. Your prior written consent to release records.

AGREEMENT
In consideration of activities with W4C allowing you to participate in Cold Water Exposure, BreathWork and Fitness activities, you hereby warrant, confirm and agree as follows:

• Except for liability for recklessness, gross negligence of deliberate harm, which cannot be excluded under the Competition and Consumer Act 2010 [Cth] of the Australian Consumer Law and Fair Trading Act 2012 [Vic], to waive any and all claims that you have or may have in the future against Cold Water Therapy, Breath-Work and Fitness activities with W4C.
• Any and all liability for any personal injury or death you may suffer, as a result of your participation in Cold Water Therapy, Breath-Work and Fitness activities due to any cause whatsoever including negligence, breach of contract or breach of any other statutory or other duty of care on the part of Cold Water Therapy, Breath-Work and Fitness activities with W4C and including the failure on the part of Cold Water Therapy, Breath-Work and Fitness activities with W4C to protect you from the risk, danger and hazards of activities.
• To the extent permitted by law, to indemnify and release activities with W4C from any liability it has or may have in the future for any loss or damage to the extent that it is beyond the loss or damage that is reasonably foreseeable as a result of engaging in Cold Water Therapy, Breath-Work and Fitness activities with W4C.
• Extent permitted below by Law, to release Cold Water Therapy, Breath-Work and Fitness activities with W4C any liability for any loss of property or property damage.
• To release and indemnify W4C from any and all liability or costs incurred in relation to medical costs, emergency transportation and litigation resulting from your personal injury or death, and arising from your participation in fitness training.
• You are not aware of any physical, mental or medical condition that would prevent you from undertaking fitness training or any other physical activity of the type and intensity to be provided by activities with W4C.
• You will honestly represent your level of fitness, health, nutrition, use of medication, medical history, current physical, mental or medical condition to activities with W4C.
• You will follow all instructions from W4C during activities, including instructions to cease participation in Cold Water Therapy, Breath-Work and Fitness activities.
• You will inform W4C immediately in the event that you feel any pain, discomfort, fatigue, nausea or any other symptoms that may occur or during, immediately after your fitness training
• You warrant that you are an Ambulance Victoria Member and you consent to receive first aid and medical treatment by W4C in the event of an accident, injury or illness during Cold Water Exposure, Breathwork and Fitness activities

TERMS OF SERVICE

• W4C practices are not a substitute for medical or psychological diagnosis or treatment.
• W4C does not diagnose medical or psychological conditions, perform medical treatment, prescribe substances, provide counselling, nor interfere with the treatment of licensed medical or psychological professionals.
• W4C makes no claims to heal medical or psychological conditions; any healing subsequent to
• W4C Breathwork practice is a result of self-healing. Although we are not aware of any contraindications to doing this technique, it is strongly advised that anyone with concerns of a medical nature should consult their regular practitioner.
• By registering for a session, you agree that your general health is good. You the participant/student will not use alcohol or recreational drugs directly prior to or during the practice of any of the W4C techniques.
• You the participant agree to hold W4C and their agents, as well as the teachers of W4C harmless against all loss, damage, harm, injury, death, liability or expense arising out of, or in connection with anything owned or controlled by W4C, or resulting from any acts, failure to act, or negligence of W4C or its agents.
• We advise against practising W4C breathwork during pregnancy without supervision from a certified facilitator, or if you are epileptic. People with cardiovascular issues, or any other serious physical or mental health conditions, including if you are currently taking medications that may impact your clarity of mind, physical function and emotional health should always consult a medical professional before practising.   
• W4C breathwork can have strong physiological and emotional effects and must be practised as instructed. Always listen to the signals from your body, intuition and logic to ensure you are making choices that are personally right for you.

CONSENT I agree to adhere to the norms and expectations for group therapy as indicated above. I acknowledge that I have had the opportunity to ask questions and such questions were answered clearly and to my satisfaction.