I understand that Biodynamic Breathwork and Trauma Release System® includes Breathwork, Physical movement, therapeutic touch and bodywork, meditation, sound, emotional release and self inquiry processes.. I understand these tools give an opportunity for release of chronic muscular tension, body/mind integration and free flow of energy in the body.

As is the case with any physical activity, the risk of injury,is always present and cannot be entirely eliminated. If I experience any pain or discomfort, I will acknowledge my physical, mental and emotional limitations, discontinue the activity/practice and ask for support from the facilitator. I assume full responsibility for any and all damages, which may incur through participation. 

I understand that the breathwork facilitator and therapist does not diagnose illness or disease and does not prescribe medical treatment or pharmaceuticals. I understand that BBTRS® is not a substitute for medical care and that it is recommended that I work with my primary caregiver for any condition I may have. 

BBTRS® is not recommended under certain medical conditions. There are contraindications listed below, in which, I have been made aware. I will report to the facilitator any medical conditions or physical limitations before the session. I confirm that I am not pregnant in first trimester, nor have severe asthma, chronic heart condition, schizophrenia, recent psychosis or epilepsy

Contraindications for breathwork: 

• Severe asthma
• Under the age of 16
• Heart disease
• Mental illness (bi-polar, schizophrenia)
• Epilepsy/history of seizures
• Acute physical injuries
• Severe diabetes
• Kidney disease
• History of strokes
• Anxiety, ocd and depression medications
• Glaucoma
• Detached retina
• Severe PTSD/Trauma
• Recent surgery/broken bones
• Prescription blood thinners
• Recreational drugs of any kind

I am not intoxicated by alcohol or drugs. I also affirm that I alone am responsible for deciding whether to participate in a BBTRS® session and that participation is at my own risk. I hereby agree to irrevocably release and waive any claims that I have now or may have hereafter against my facilitator/therapist. I have read and fully understand and agree to the above terms of this Liability Waiver

Thanks for taking the time to read through + sign this form.

 

 

With Love,

El