PARTICIPANT WAIVER, RELEASE OF LIABILITY, AND ASSUMPTION OF RISK
PRESENCE Breathwork & Movement Arts
Acknowledgment of Voluntary Participation
I understand that I am voluntarily participating in classes, workshops, private sessions, retreats, events, and
other activities offered by PRESENCE Breathwork & Movement Arts ("Studio"). These activities may
include, but are not limited to:
-Breathwork
-Yoga
-Meditation
-Mindfulness practices
-Movement and mobility exercises
-Sound healing
-Relaxation techniques
-Educational discussions and wellness coaching
-I understand that participation is entirely voluntary and that I may stop participating at any time.
Health Disclosure
I certify that I am physically and mentally capable of participating in these activities or have consulted with
my physician regarding my participation.
I agree to inform my instructor before participating if I have, or have ever experienced, any of the following:
-Pregnancy
-Cardiovascular disease or high blood pressure
-Stroke or aneurysm
-Epilepsy or seizures
-Severe asthma or respiratory illness
-Recent surgery or serious injury
-Glaucoma or detached retina
-Osteoporosis or significant spinal conditions
-Chronic pain or mobility limitations
-Psychiatric conditions including psychosis, schizophrenia, bipolar disorder, PTSD, or severe anxiety
-Any other medical or psychological condition that could be affected by intensive breathing,
movement, or meditation practices
-I understand that some breathwork techniques may not be appropriate for certain medical or psychological
conditions.
Assumption of Risk
I understand that yoga, breathwork, movement, meditation, and related wellness practices involve inherent
risks, including but not limited to:
-Muscle soreness or strain
-Sprains or other physical injuries
-Dizziness
-Tingling sensations
-Hyperventilation
-Temporary changes in blood pressure
-Emotional release
-Fatigue
-Fainting
-Aggravation of pre-existing conditions
I knowingly and voluntarily assume all risks associated with my participation.
Medical Responsibility
I understand that the instructors at PRESENCE Breathwork & Movement Arts are not physicians,
psychologists, or licensed medical professionals (unless specifically stated).
The services provided are intended to support general wellness and are not intended to diagnose, treat,
cure, or prevent any medical or mental health condition.
I understand that I am responsible for seeking medical advice regarding any health concerns.
Release of Liability
To the fullest extent permitted by law, I release and forever discharge PRESENCE Breathwork & Movement
Arts, its owners, instructors, employees, contractors, volunteers, assistants, and affiliates from any and all
liability, claims, demands, actions, damages, losses, or expenses arising out of or related to my
participation, including claims resulting from ordinary negligence.
This release applies to any injury, illness, emotional distress, disability, property damage, or death that may
occur during or after participation.
Emergency Medical Care
In the event of an emergency, I authorize Studio staff to obtain emergency medical treatment on my behalf
if I am unable to do so.
I understand that I am responsible for any medical expenses incurred.
Personal Responsibility
I agree to:
-Listen to my body.
-Participate within my own limits.
-Inform the instructor if I feel uncomfortable or unsafe.
-Stop any activity that causes pain, distress, dizziness, or discomfort.
-Follow all safety instructions provided by the Studio.
Photography & Media Release (Optional)
☐ I give permission for photographs or video taken during classes or events to be used for marketing and
promotional purposes.
☐ I do not give permission. (Let us know)
Cancellation & Refund Policy
I understand that cancellations, memberships, workshops, and private sessions are subject to the Studio's
published policies.
Severability
If any provision of this Agreement is determined to be unenforceable, the remaining provisions shall remain
in full force and effect.
Governing Law
This Agreement shall be governed by the laws of the state in which PRESENCE Breathwork & Movement Arts
operates.
Acknowledgment
By registering for a class,, I acknowledge that:
I have carefully read this Agreement.
I fully understand its contents.
I understand that I am giving up certain legal rights by signing it.
I sign this Agreement voluntarily and without coercion.