Breathwork Registration and Waiver - Wellington Natural Health Logo
  • Coaching & Transformational Breathwork Journeys

     9D Revolution

    Crystal Spirit Healing  

    I/we prioritize the safety and well-being of all our participants, and as part of our commitment to ensuring a secure environment, we require the completion of this Liability Waiver Form.

    A breathing session may not be suitable for you if you have the following conditions:

    • Cardiovascular problems, abnormally high blood pressure, aneurysms
    • epilepsy and seizures in the past
    • anyone taking heavy medication
    • severe psychiatric symptoms especially psychosis or paranoia, bipolar,
    • osteoporosis, recent surgery, glaucoma
    • is currently pregnant.
    • People with asthma should bring their own inhaler and consult with their physician and breathing session instructor before participating.
    • Anyone experiencing an emotional or spiritual crisis or any person with a mental illness who is not in treatment or lacks adequate support.

    Please note, that this list is not exhaustive and we generally advise that if you have a question about a condition you may have that is not listed here, you consult a physician before participating in these breathing sessions.

  •  - -
  • I (fill your name below)

  • warrant and represent that I am in good health physically, mentally, psychologically and emotionally, I understand and warrant that if I am not in good health I will not be allowed to perform the activities and sessions.

    Accordingly, to the declaration and certification that I am in good health in all the above-mentioned respects constitutes a material agreement to allow me to participate in the breathing sessions.

    I know and acknowledge that the person facilitating is not a doctor or psychiatrist, or a specialist in health care, and that the activities offered are not intended to treat and diagnose specific medical conditions, whether physical, psychological or emotional.

    I voluntarily participate in these activities knowing the risks and consequences and agree to assume all consequences, known or not.

    I release trainer Elizabeth Mueller (and assistants) from all responsibilities, costs and damages that may arise from participating in the above-mentioned activity.

    I agree to accept financial responsibility for costs related to treatment.

    By adding my name below, I acknowledge that I have read the above warning and agree to proceed with full responsibility, and understand that I have waived certain rights by signing and signing this release of liability freely and voluntarily without any external influence.

    Friend Waiver link 

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  • Thank you for your commitment to your health and your future.

    Before you go any further please copy this link - 9D-waiver. It is nesessary to be completed by all attending. If you are paying for a guest or friend, please make sure they complete the waiver before the session. 

    You are welcome to finish your purchase and then complete the copied link. 

  • Choose from one of the PayPal options to make your payment.

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