Breathwork Renewal Series Waiver and Release of Liability
Please agree to the following waiver and release form in order to participate in the Breathwork session. 
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I understand that as a Breathwork class participant, I am responsible for any consequence resulting from my Breathwork practice.

I understand that medical conditions such as schizophrenia, bipolar, epilepsy, heart conditions, extremes of blood pressure, aneurysm, recent abdominal surgery and delicate or early pregnancy can be contraindications to conscious connected Breathwork and other breathing techniques used in the Breathwork class.

I understand that it is my responsibility to discuss any medications I am taking or any medical (mental, emotional or physical) conditions I have with the facilitator prior to participating in the event.

I understand and acknowledge that a Breathwork session a) is not intended to replace any relationship with my medical doctor and /or primary health care provider(s) and b) is not intended to constitute medical advice or any substitution for medical care; is not intended to be relied on for prescriptions, recommendations, diagnosis or treatment in relation to any health problem or disease.

I understand that while every care is taken, neither the facilitators nor the Awareness Institute are liable or otherwise responsible for any damage or injury resulting from my practice.

I understand and acknowledge that in undertaking Breathwork practices I am doing so at my own risk. It is with the understanding that I voluntarily execute this release and waiver.

I further understand and agree to keep confidential all information discussed in the group. This confidentiality agreement extends to not sharing beyond the group the identity or identifying information of other participants, and reactions of any group member participant. I also understand that I may talk about my own personal reactions and am encouraged to do so outside of the group, but not others’ identifying information or reactions. By confirming below I am agreeing to these terms.

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