Health & Liability Waiver

This is needs to be completed prior to joining your breathwork journey.

INSPIRE WELLNESS CO Pty Ltd, including it's subsidiary, Breathworx, and its facilitators, prioritize the safety and well-being of all our participants, and as part of our commitment to ensuring a secure environment, we require the reading and completion of this Liability Waiver Form.

A breathing session may not be suitable for you if you have any of the following conditions:

• Cardiovascular problems,

• Abnormally high blood pressure,

• Aneurysms,

• Epilepsy and seizures in the past,

• Anyone taking heavy medication,

• Severe psychiatric symptoms especially psychosis or paranoia, bipolar,

• Osteoporosis,

• Recent surgery,

• Glaucoma,

• Pregnant.

  
  

People with asthma should bring their own inhaler and consult with their physician and breathing session instructor before participating.

Anyone experiencing an emotional or spiritual crisis or any person with a mental illness who is not in treatment or lacks adequate support.

Please note, this list is not exhaustive and we generally advise that if you have a question about a condition you may have that is not listed here, you consult a physician before participating in these breathing sessions.

Your Declaration:

I warrant and represent that I am in good health physically, mentally, psychologically and emotionally, and I understand and warrant that if I am not in good health I will not be allowed to perform the activities and sessions.

Accordingly, the declaration and certification that I am in good health in all the above-mentioned respects constitutes a material agreement to allow me to participate in the breathing sessions.

I know and acknowledge that the person(s) facilitating is not a doctor or psychiatrist, or a specialist in health care, and that the activities offered are not intended to treat and diagnose specific medical conditions, whether physical, psychological or emotional.

I voluntarily participate in these activities knowing the risks and consequences and agree to assume all consequences, known or not.

I release Breathworx and its facilitators from all responsibilities, costs and damages that may arise from participating in the above-mentioned activity.

I agree to accept financial responsibility for costs related to treatment.

By adding my name below, I acknowledge that I have read the above warning and agree to proceed with full responsibility, and understand that I have waived certain rights by signing, and signing this release of liability freely and voluntarily without any external influence.

Your Consent:

I hereby grant permission to use my likeness, voice, and/or recorded content in any and all forms of media including but not limited to photographs, videos, and audio recordings.

I understand that my likeness, voice, and/or recorded content may be used for promotional, marketing, educational, or other specified purposes deemed appropriate by Breathworx and it’s affiliates, in any and all other media whether now known or hereafter existing, without further consent or compensation.

I waive any right to inspect or approve the finished product wherein my likeness, voice, and/or recorded content appears. I also release INSPIRE WELLNESS CO Pty Ltd & and it’s affiliates, it’s representatives, and all persons acting under its permission from any liability arising from the use of my likeness, voice, and/or recorded content.

This consent shall remain valid indefinitely unless revoked in writing by myself.