Breathwork Release Form, Terms & Conditions
By clicking "SUBMIT", you are acknowledging and agreeing to the following. Please read before you "SUBMIT".
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Breathwork is a method where we use continual breathwork to break down emotions in the body that are stagnant and create havoc on our energetic systems. Breathwork is a practice of allowing our systems to see a different perspective whereby we feel deeply connected to our bodies and understand and experience the intelligence contained within our systems.
Your nervous system is the electrical network of your being. Over time, unresolved trauma or chronic stress causes dis-regulation of this network. When dis-regulated, difficulties in your personal or professional life arise. When you heal trauma and stress, you heal the electrical network of your nervous system. When you heal the nervous system, you heal the emotional self so your authentic self can emerge.
Breathwork with Danen Williamson Life and Health Coaching, LLC., uses circular connected breathing paired with rhythmic music to produce an emotional release. This release may be in the form of moving, shaking, yelling, crying, or laughing. Using the breath, you will engage your innate ability to heal and move out any defenses, blockages, restrictions, or pains that hold you back from who you are and how you want to show up in this world.
By signing below you are acknowledging and agreeing to the following. Please read before you sign.
RELEASE OF LIABILITY
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As the client, and in consideration for my participation in breathwork session(s) with Danen Williamson Life and Health Coaching, LLC., Danen Williamson (the “Facilitator”), I agree that my participation in the breathwork is entirely voluntary and that I assume any risk associated with participation. Any actions or lack of actions, taken by me, the client, of such advice, is done so solely by choice and responsibility, and any harm, injury, or loss that may occur to me or my property as a result of my participation in the breathwork, is neither the responsibility nor liability of Danen Williamson Life and Health Coaching, LLC dba Danen Williamson.
I understand that breathwork is not a substitute for counseling, psychotherapy, psychoanalysis, mental health care, or substance abuse treatment, and I will not use it in place of any form of therapy. I recognize that breathwork requires emotional, physical, and mental effort, exertion, and behavioral experimentation, on my part, which may cause physical, mental, or emotional injury. I fully acknowledge and take full responsibility for all the risks involved. I understand that it is my responsibility to consult with my health care provider prior to participating in the breathwork. I understand that Danen Williamson is a coach, breathwork and meditation guide and facilitator, and only offers services only as such.
In the event that I am injured, I agree to assume any financial obligation, either through my personal health insurance or through some other means, for any medical costs I incur. Danen Williamson Life and Health Coaching, LLC and Facilitator; Danen Williamson assume no responsibility for any medical expenses, injury, or damage suffered by me in connection with the use of any facilities or services in connection with the breathwork.
In consideration of my participation in the breathwork, I HEREBY GENERALLY RELEASE, AND PROMISE TO INDEMNIFY, DEFEND, AND HOLD HARMLESS Danen Williamson Life and Health Coaching, LLC, LLC, Danen Williamson AND THEIR RESPECTIVE AGENTS AND EMPLOYEES (The“RELEASE PARTIES”), FROM ANY LIABILITY WHATSOEVER. I will reimburse Facilitator; Danen Williamson for any damages, reasonable settlements, and defense costs, including attorneys fees, that they incur because of any such claims made against them. I agree that the terms of this agreement, including the indemnification obligations in this paragraph, will be binding on my estate, and my personal representative, executor, administrator or guardian will be obligated to respect and enforce them. This RELEASE does not extend to claims for gross negligence, intentional or reckless misconduct, or any other liabilities that applicable law does not permit to be excluded by agreement.
I agree that the purpose of this agreement is that it shall be an enforceable RELEASE OF LIABILITY AND INDEMNITY as broad and inclusive as is permitted by law. I agree that if any portion or provision of this agreement is found to be invalid or unenforceable, then the remainder will continue in full force and effect. I also agree that any invalid provision will be modified or partially enforced to the maximum extent permitted by law to carry out the purpose of the agreement.
I understand that this is a contract that affects my legal rights, and I have read and understood this form and all its contents, and I voluntarily agree to the terms and conditions stated above.
To submit questions regarding this release please email: danen@danenwilliamson.com
Do not do breathwork if it is not safe, if you have a medical condition that prohibits you from participating, while operating machinery, while in water, or in any environment/situation/setting that needs your attention and awareness whether listed here or not.
The following is a list of concerns and conditions (some but not limited to this list) that one must seek a doctors approval before participating in breathwork:
Cardiovascular disease, angina, heart attack, high blood pressure, recent injury or surgery, retinal detachment, osteoporosis, glaucoma, or any condition in which you take regular medications.
Pregnant women can participate in lighter breathing practices also known as integrative patterns but may wish to avoid more activated patterns that may cause emotional responses.