I have voluntarily enrolled in this Breathwork activity. I understand that I am under no obligation of any kind to participate in this Breathwork activity and I voluntarily enter into this Waiver and Release of Liability.
I understand that Breathwork is a personal growth experience designed to enhance the quality of life, and is not a substitute for psychotherapy. I understand that this Breathwork activity will involve strong connected breathing and may include guided meditation. I understand that Breathwork can involve dramatic experiences accompanied by strong emotional and physical responses. I understand that I may find Breathwork physically, emotionally, and/or mentally stressful.
I hereby affirm that I am in good health and able to participate in this activity. I do not have any physical or mental conditions which would impair my ability to engage in this activity or which would otherwise endanger my health during this Breathwork activity, or which would cause any risk of harm to myself or other participants. I understand that this Breathwork activity is not medically supervised. I have hereby been advised that I should talk to my physician and/or psychotherapist if I have any questions about my physical or mental ability to safely participate in this Breathwork activity. If I have chosen not to obtain a physicians consent prior to my participation in Breathwork, I hereby agree that I am doing so solely at my own risk. I understand that it is my sole responsibility to participate in activities that are appropriate for the current status of my health and to modify this Breathwork activity to accommodate my own needs or limitations. If I have any questions or concerns about whether or not a particular activity is appropriate to my current health status, I understand it is my responsibility to ask my doctor before I participate in such activity.
I agree to indemnify and hold harmless Charles Robinson and Kai Chi Do Inc. and their respective directors, officers, employees and agents from and against any and all claims and expenses, including attorneys fees, arising out of my participation in this Breathwork activity.
In consideration of my participation in this Breathwork activity, I hereby waive and release Charles Robinson and Kai Chi Do Inc. from any and all claims, costs, liability and expense for any injury, loss or damage whether known, anticipated or unanticipated arising from my participation in Breathwork. This Waiver and Release of Liability shall be construed broadly to provide a release and waiver to the maximum extent permissible under applicable law.
I acknowledge that I have thoroughly read this Waiver and Release of Liability in its entirety and fully understand it. By signing this document, I am waiving certain rights I and/or my successors might have to bring legal action or assert a claim against Charles Robinson and/or Kai Chi Do Inc.