9D BREATHWORK LIABILITY WAIVER
The safety and well-being of all participants is a priority and as part of my commitment to ensuring a secure environment, I require agreement to this liability waiver. A breathing session may not be suitable for you if you have 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, paranoia or suffering with bipolar, or if you have osteoporosis, have had a recent surgery, glaucoma or are currently pregnant. Anyone experiencing an emotional or spiritual crisis or any person with a mental illness who is not in treatment or lacks adequate support should not attend. Please note, this list is not exhaustive and you are generally advised 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. People with asthma must have their inhaler available and consult with their physician before participating.
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 attend these 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 Leesa Poffenroth (Soul Synchrony Hypnosis) is not a doctor or psychiatrist, or a specialist in health care, and that the activities offered are not intended to treat and/or 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 Leesa Poffenroth and Soul Synchrony Hypnosis from all responsibilities, costs and damages that may arise from participating in these activities. I agree to accept all responsibility for costs and all other issues that may arise. By selecting “I HAVE READ AND AGREE TO THE TERMS OF THE 9D BREATHWORK LIABILITY WAIVER”, 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 this release of liability freely and voluntarily without any external influence.”


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