Breathwork Participant Registration Form

I understand and acknowledge that the workshop and any discussions or consultations: a) are not intended to replace any relationship I have with my medical doctor and/or primary health care provider(s); b) are not intended to constitute medical advice or any substitution for medical care; c) are not intended to be relied on for prescriptions, recommendations, diagnosis or treatment in relation to any health problem or disease; I understand that if I am taking any medications or have had at any point medical conditions such as: schizophrenia, bi-polar, epilepsy, heart conditions, or pregnancy, that I must advise the facilitator/s. I also understand that even though I have been accepted as a participant, I am responsible for any consequence resulting from a Breathwork session. I certify that I have taken medical advice relating to any physical, mental or emotional condition that may impair my judgement, or have any affect on my physical health, and am able to undertake yoga and breathwork sessions. I understand that whilst every care is taken, the teacher will not be liable for any damage or injury resulting from my practice. I understand that sessions may include physical touch designed to support me in my journey, and that I have the right to refuse touch by using the word ‘stop’ at any time. I understand that I am responsible for personal items and that the teacher cannot be held responsible for damage to or loss of personal items. I understand and acknowledge that, in undertaking a Breathwork I am doing so at my own risk. It is with that understanding that I voluntarily execute this release and waiver. We occasionally take photos for promotional purposes. We never tag people and will remove any photo that you are featured in if you are not happy for your image to be used.

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We are based in Brighton + Hove.

Our shipping is free.

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