Evolve Breathwork Waiver and Release of Liability
I, the undersigned, understand that participation in breathwork sessions can have inherent risks and potential physical and psychological effects. I hereby agree to voluntarily participate in breathwork sessions, workshops, classes, or any other activities organized by Evolve Breathwork in various locations, including rented venues, private property and public locations.
I understand that breathwork involves controlled breathing exercises, relaxation techniques, and mindfulness practices and can induce altered states of consciousness. These states may lead to intense emotional experiences, physical sensations, and temporary discomfort.
I acknowledge that there may be risks associated with participating in breathwork, including but not limited to:
1. Hyperventilation and dizziness.
2. Emotional releases or cathartic experiences.
3. Physical sensations such as tingling, muscle contractions, and light-headedness.
4. Changes in body temperature and heart rate.
5. Temporary psychological distress.
I understand that in some breathwork sessions, Evolve Breathwork may incorporate the optional use of ice baths as part of the activities. Ice baths involve immersing oneself in cold water for a period of time. This practice may involve exposure to extreme cold temperatures and can lead to physical sensations such as intense cold, shivering, temporary discomfort, and physiological responses like increased heart rate and changes in body temperature.
I acknowledge that participating in ice baths as part of the breathwork sessions carries additional risks, including but not limited to:
- Increased risk of hypothermia or cold-related injuries.
- Intense physical discomfort due to exposure to extreme cold temperatures.
- Temporary changes in heart rate, breathing patterns, and blood pressure.
- Potential psychological stress or anxiety due to the exposure to extreme cold.
I understand that participation in ice baths is entirely optional and that I have the choice to abstain from this aspect of the activity without penalty or pressure from the Organizer or its representatives.
In consideration of being permitted to participate in these breathwork activities that may involve ice baths, I hereby release and discharge the Organizer, their facilitators, employees, representatives, and all other individuals involved in organizing the breathwork sessions, from any and all liability, claims, demands, actions, or causes of action related to my voluntary participation in ice baths, whether arising from negligence or any other act.
I acknowledge that I have been advised to inform the Organizer about any pre-existing medical conditions, physical limitations, or psychological concerns that may affect my ability to safely participate in breathwork sessions.
**Medical Contraindications**:
I acknowledge that participation in breathwork may not be suitable for individuals with certain medical conditions or situations, and I confirm that I have read and understand the following contraindications. If any of these contraindications apply to me, I agree not to participate in breathwork sessions until I have consulted with a medical professional:
• Cardiovascular conditions, such as uncontrolled high blood
pressure, angina, or heart arrhythmias.
• Respiratory conditions, including chronic obstructive
pulmonary disease (COPD) or asthma.
• A history of seizures or epilepsy.
• Pregnancy or potential pregnancy.
• Detached Retina
• Osteoporosis
• A history of mental health disorders, particularly
schizophrenia, bipolar disorder, or severe personality disorders
• Recent surgery or a history of significant abdominal or thoracic
surgery.
• A tendency to experience panic attacks or severe anxiety
disorders.
• Active substance abuse or a history of substance abuse
disorders.
1. Cold Hypersensitivity or Intolerance: Individuals who have an extreme sensitivity or intolerance to cold temperatures should avoid ice baths due to the risk of exacerbating their condition.
2. Heart Conditions: Those with existing heart conditions, such as uncontrolled high blood pressure, heart disease, or other cardiovascular issues, should avoid ice baths as they can cause fluctuations in heart rate and blood pressure.
3. Respiratory Conditions: Individuals with respiratory conditions such as asthma or chronic obstructive pulmonary disease (COPD) may experience difficulty breathing in extreme cold environments, making ice baths potentially risky.
4.Circulatory Issues: People with circulatory problems, such as peripheral vascular disease, may have compromised blood flow to the extremities in cold conditions, increasing the risk of tissue damage.
5.Open Wounds or Skin Injuries: Ice baths can potentially irritate or worsen existing skin conditions, open wounds, or injuries due to the extreme cold exposure.
6. Pregnancy: Pregnant individuals should avoid ice baths due to the potential risks of sudden changes in body temperature affecting fetal well-being.
7. Nerve Disorders: Those with nerve disorders or conditions affecting sensation and perception may not be suitable candidates for ice baths as they might not feel the onset of frostbite or other cold-related injuries.
8. Recent Surgery: Individuals who have undergone recent surgeries, especially those involving the skin or circulatory system, should avoid ice baths until fully healed to prevent complications.
9. Raynaud's Disease: People with Raynaud's disease, a condition that affects blood flow to extremities, may experience worsening symptoms or increased discomfort in response to extreme cold.
10. Elderly or Infants: Extreme temperatures can be challenging for the elderly and infants, potentially leading to hypothermia or other health issues.
In consideration of being permitted to participate in these breathwork and ice bath activities, I hereby release and discharge the Organizer, their facilitators, employees, representatives, and all other individuals involved in organizing the breathwork sessions, from any and all liability, claims, demands, actions, or causes of action that I, my heirs, executors, administrators, or assigns may have, whether arising from negligence or any other act, arising out of or relating to my participation in these activities.
I understand that this release of liability includes, without limitation, any claims for personal injury, emotional distress, and property damage, whether caused by the negligence of the Organizer or otherwise.
I am voluntarily participating in these breathwork and ice bath activities, and I am fully aware of the potential risks and effects. I certify that I am physically and mentally fit to participate, and I assume full responsibility for my own safety and well-being.
I have read this waiver and release of liability and fully understand its terms. I voluntarily agree to its contents and sign it of my own free will.