• Release Form

    Somatic Breath Work Session
  • Release Waiver
    By participating, you confirm and agree to the following:

    Acknowledgment of Process

    I understand that Soma+IQ™: Somatic Breathwork involves deep breathing, which can activate intense emotional and physical responses. I take full responsibility for my physical, mental, and emotional well-being during and after the session. I’ve disclosed any relevant injuries or conditions to my practitioner.

    Contraindications

    Soma+IQ™ Breathwork is not a substitute for medical or psychological care. It is not advised for individuals with:

    Pregnancy
    Cardiovascular issues (e.g., heart conditions, high blood pressure)
    Glaucoma, retinal detachment, or osteoporosis
    Epilepsy, recent surgery, or infectious disease
    History of seizures, strokes, or serious psychiatric conditions
    If you have asthma, please bring your inhaler and consult your doctor.

    If you have any doubts about your suitability, consult your physician before participating.

    Release of Liability

    I voluntarily choose to participate in Soma+IQ™ Breathwork. I understand the potential risks and agree to release Carolyn Bowers, PT, DPT and Soma+IQ™ from any and all claims, liability, or damages resulting from my participation.

    Health Declaration

    I confirm that I have read and understood all of the above. I affirm that I am in good general health and feel fit to participate.

  • Date
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