Release of Liability
As the client, and in consideration for my participation in breathwork sessions (“Session”) with a facilitator of Elizabeth Harris Enterprises Ltd. also known as "Space Breathwork” (the “Facilitator”). I agree that my participation in the Session(s) 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 Session, is neither the responsibility nor liability of Elizabeth Harris Enterprises Ltd. nor the Facilitator.
I understand that during the Session, I may be photographed or videotaped. We promise to take utmost care of any footage of you. It may be released as an audio file or where the Facilitator is seen but you are not pictured for future resale. By signing this agreement, you agree to these terms.
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 Session.
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. Elizabeth Harris Enterprises Ltd. and Facilitator 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 Session.
IN CONSIDERATION OF MY PARTICIPATION, I HEREBY GENERALLY RELEASE, AND PROMISE TO INDEMNIFY, DEFEND, AND HOLD HARMLESS Elizabeth Harris Enterprises Ltd. AND Facilitator, AND THEIR RESPECTIVE AGENTS AND EMPLOYEES (THE “RELEASE PARTIES”), FROM ANY LIABILITY WHATSOEVER. I will reimburse Elizabeth Harris Enterprises Ltd. and Facilitator for any damages, reasonable settlements and defense costs, including attorney’s 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 Ontario 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.
I acknowledge that it is inappropriate to use alcohol and/or recreational drugs prior to, or during sessions.
I also understand that even though I have been accepted as a participant, I am responsible for any consequence resulting from any breathwork session that I do with Space Breathwork.
Space Breathwork is not a substitute for consulting your doctor or medical care provider. In the event of known medical conditions, I certify that I have consulted a health professional regarding any condition (physical, mental or emotional) that could interfere with my judgment, or affect my health in any way during or after the session.
Use personal accountability when choosing a location to engage in breathwork. Do not participate in breathwork when driving, operating machinery, in a body of water or bath etc.
To submit questions regarding this release please email: spacebreathworkgmail.com
Medical
Have you had OR do you presently have any of the following medical conditions:
Conditions:
Angina
Cardiovascular disease
Heart attack
High blood pressure
Glaucoma
Retinal detachment
Osteporosis
Seizure disorders
Recent injury or surgery
Any condition for which you take regular medications
History of panic attacks, psychosis, or disturbances
Severe untreated mental illness
Family history of aneurysms
Frequent dizziness or vertigo
Currently pregnant or might be pregnant
Other
If you answered “Yes” to one or more of the above questions, you must consult your physician before engaging in breathwork. Tell your physician which questions you answered “Yes” to. After a medical evaluation, seek advice from your physician on which type of activity is suitable for your current condition.