• Via Sophia Workshop Waiver & Consent Form

    Enter your details, emergency contact information, and consent to participate.
  • Format: (000) 000-0000.
  • Format: (000) 000-0000.
  • VIA SOPHIA, LLC
    Participant Waiver, Release of Liability & Informed Consent

    Workshop: Repose - A Somatic Wisdom Workshop

    I understand that I am voluntarily participating in a wellness workshop offered by Via Sophia, LLC that may include functional breathwork, restorative movement, mobility exercises, mindfulness or relaxation practices, and self-myofascial release techniques.

    Voluntary Participation & Assumption of Risk

    I understand that participation in breathwork and physical movement involves inherent risks. These may include, but are not limited to, muscle soreness or strain, loss of balance, dizziness, lightheadedness, changes in breathing sensation, emotional responses, aggravation of a pre-existing condition, or other physical discomfort or injury.

    I understand that I am responsible for participating within my own abilities and limitations. I agree to modify or discontinue any activity that causes pain, dizziness, unusual shortness of breath, significant discomfort, or other concerning symptoms.

    I voluntarily assume the risks associated with my participation.

    Health & Medical Considerations

    I understand that the practices offered by Via Sophia, LLC are intended for general wellness and educational purposes and are not a substitute for medical care, diagnosis, physical therapy, psychotherapy, or other treatment from a licensed healthcare provider.

    I understand that it is my responsibility to determine whether participation is appropriate for me and to consult a qualified healthcare professional when necessary, particularly if I am pregnant or have an injury, recent surgery, cardiovascular or respiratory condition, neurological condition, significant musculoskeletal condition, or another medical concern that could affect my ability to participate safely.

    I agree to inform the instructor before the workshop of any relevant physical limitations or health considerations that may affect my participation.

    Breathwork                                                                                         

    I understand that breathwork practices may include changes in breathing rate or rhythm and brief, comfortable breath holds. These practices may temporarily produce sensations such as lightheadedness, tingling, temperature changes, emotional responses, or changes in perceived breathing effort.

    I understand that I may return to my normal breathing pattern or discontinue a breathing practice at any time. I agree not to force, strain, extend a breath hold beyond what feels comfortable, or continue a breathing technique that feels inappropriate for me.

    Movement & Self-Myofascial Release

    I understand that movement and self-myofascial release techniques may involve stretching, mobility exercises, pressure applied with therapy balls or other props, and changes in body position.

    I understand that I am responsible for determining an appropriate level of movement and pressure for my body and may decline or modify any exercise or technique.

    Personal Responsibility

    I understand that all instruction is invitational and that I remain responsible for my own choices and physical well-being throughout the workshop.

    I understand that I may ask questions, request modifications, take a break, or stop participating in any practice at any time.

    Release of Liability

    To the fullest extent permitted by applicable law, I voluntarily release and hold harmless Via Sophia, LLC, its owner, instructors, representatives, and the facility hosting the workshop from claims arising from the ordinary and inherent risks of my voluntary participation, except to the extent liability cannot legally be waived or released.

    I understand that this agreement does not waive any rights that cannot lawfully be waived under applicable law.

  • Acknowledgment & Consent

    By signing below, I acknowledge that:

    • I have read and understand the Waiver, Release of Liability & Informed Consent.

    • I have had the opportunity to ask questions before participating.

    • I understand the nature of the activities offered.

    • I am voluntarily choosing to participate and accept the inherent risks associated with participation.

    • I agree to take responsibility for honoring my body's needs, limitations, and signals throughout the workshop.

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