• Elemental Rhythm Breath workshop waiver

    Please review contraindications, acknowledge the agreement, and provide your signature to participate.
  • What to Expect During the Workshops: Participants will engage in guided breathing exercises, rhythmic movements, and relaxation techniques designed to enhance well-being and mindfulness.

    I understand that I am choosing to participate in a breathwork session, class, retreat, or experience (“Breathwork Session”) that may take place in person or online.

    Breathwork may include guided breathing, conscious or altered breathing patterns, music, verbal prompts, emotional release, physical sensations, and changes in awareness. I understand that this is a self-directed practice, and that I am responsible for listening to my body and caring for myself during and after the session.


    I understand that breathwork is not medical, psychological, or mental health treatment.

    The facilitator is not diagnosing, treating, or curing any condition and is not acting as a licensed medical provider or therapist, unless stated otherwise in writing.

    Breathwork does not replace professional medical or mental health care, and I am encouraged to consult a qualified healthcare provider if I have concerns.


    I confirm that I do not have any condition that would make participation unsafe, including but not limited to:

    Heart conditions or uncontrolled high blood pressure
    History of stroke, aneurysm, seizures, or epilepsy
    Severe asthma or respiratory conditions
    Pregnancy
    Glaucoma or retinal detachment
    Recent surgery or serious injury
    Severe psychiatric conditions (such as psychosis, bipolar disorder, or schizophrenia)
    If I do have any of the above, I understand that I am choosing to participate at my own risk.


    I acknowledge that if I have any health concerns listed above, I have been advised to consult with a qualified healthcare provider before participating in breathwork if I have any medical, physical, or mental health concerns.

    I confirm that I have either consulted with a healthcare provider and received clearance to participate, or I have chosen to participate without such consultation, and I accept full responsibility for that decision.



    I confirm that I am not under the influence of alcohol, illegal drugs, recreational drugs, or any substance that could impair my awareness or judgment at the time of participation.

    I understand that participating while under the influence increases risk and may result in my removal from a session or retreat without refund, for safety reasons.

    I understand that breathwork can involve physical, emotional, and psychological effects, including but not limited to:

    Dizziness or lightheadedness
    Tingling or muscle tension or spasms
    Emotional release or discomfort
    Changes in breathing, heart rate, or blood pressure
    Fainting or loss of consciousness (rare)
    I understand that there may be unknown or unexpected risks, and I voluntarily accept all risks associated with participation.

    To the fullest extent allowed by law, I agree to release and hold harmless Bethany Schaub, doing business as 3 Roots Rising LLC. or Transcend Bodyworks Inc, the facilitator, and their business, assistants, volunteers, and representatives from any claims, injuries, losses, or damages, including those caused by ordinary negligence, that may arise from my participation.

    This release applies to me and my heirs, personal representatives, executors, and assigns, and includes claims related to physical injury, emotional distress, psychological effects, illness, or death, whether they occur during or after participation.

    This release does not apply to gross negligence, reckless conduct, or intentional harm where prohibited by law.


    I agree that I will not bring legal action against the facilitator or associated parties for any injury or damages related to my participation, except where prohibited by law.


    If I am participating online, I understand that:

    I am responsible for my physical environment
    I will stop or modify participation if needed
    The facilitator cannot physically assist me
    I accept all risks related to virtual participation.

    If I am participating from outside the United States, I understand that:

    I am choosing to participate in a U.S.-based service
    I am responsible for following my local laws
    This agreement applies to the fullest extent allowed by applicable law.

    If a medical emergency occurs, I authorize the facilitator to seek emergency assistance. I understand that I am responsible for any medical costs.


    This agreement is governed by the laws of the United States, and where state law applies, by the laws of the state in which the facilitator is primarily based.

    Any legal dispute will take place in the United States.


    I confirm that:

    I have read and understood this agreement
    I had the opportunity to ask questions
    I am participating voluntarily
    This agreement is binding on me and on my heirs, personal representatives, executors, and assigns
    I understand that I am giving up certain legal rights, including the right to sue. 

     

    The sessions may include gentle touch and the use of aromatherapy to support the experience.

  • Please inform the facilitators beforehand if you have any sensitivities or problems with aromatherapy or touch to ensure a safe and comfortable experience for everyone.
  • Agreement and Liability Waiver: By signing below, I acknowledge that I have read and understood the contraindications listed above. I agree to participate in Elemental Rhythm Breath Workshops/classes at my own risk. I hereby release the facilitators, organizers, and venue from any liability, claims, or demands for any injuries or adverse effects that may result from my participation. I agree not to initiate any legal action against the facilitators, organizers, or venue related to my participation in these workshops/classes.
  • Format: (000) 000-0000.
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