Breathwork Journey Registration

All voyagers enter completely at their own risk, with clear knowledge and understanding of the information below:

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Email *
What is your intention for joining?
How did you hear about this event? *
How much previous experience do you have with the 'conscious connected breath' breathing pattern?
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Do you have any of the following diagnosed medical conditions? *
Required
I understand and acknowledge that I am responsible for consulting my health care provider, or doctor, in case of a health condition. *
Since these sessions are experiential, and the extent of the risks and benefits are not fully known, I agree to assume and accept full and complete responsibility for any known and unknown risks associated with my participation. *
Is there anything else that you wish the facilitator(s) to be aware of, that may support your journey e.g. significant current or past emotional, mental, physical, spiritual experiences?
Please write your name, which acts as a signature of agreement for the above. *
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