Liability Waiver

By signing up for this session you agree to these terms:

I acknowledge that SomatIQ Breathwork™ is a deep and powerful process. I have notified the practitioners of any physical injuries, mental or psychological conditions I have. I engage in this experience willingly and take full responsibility for my own physical, mental, and emotional experiences during and after the session.

Contraindications

SomatIQ Breathwork™ is intended as a personal growth experience and should not be looked upon as a substitute for psychotherapy. It is not appropriate for pregnant women, for persons with cardiovascular problems, including angina or heart attack, high blood pressure, glaucoma, retinal detachment, osteoporosis, history of seizures, stroke, major psychiatric conditions, recent surgery, acute infectious illness, or epilepsy. If you have any doubt about whether you should participate, consult with your primary care physician. Persons with asthma should bring their inhaler and consult with their primary care physician.

Release

I acknowledge I have chosen to participate in Somatic Breathwork. My choice has been voluntary and I may terminate my session at any time. I understand that there is no assurance that I will feel better and that emotions may be evoked that will be upsetting in nature. I understand the potential risks of participation.
 

I hereby release and hold harmless Angie Cleppe of Angie's Breathwork LLC from any and all results that arise during or from the Somatic Release Breathwork. I waive all rights under law regarding the same. I or my representative(s) agree to full release and hold Angie Cleppe of Angie's Breathwork LLC harmless from and against any and all claims or liability of whatsoever kind or nature arising out of or in connection with my session(s).

Photo and video release 

During this session there may be videos and pictures taken to use for marketing purposes, let me know if you prefer to opt out of this. I hereby grant permission to Angie Cleppe of Angie's Breathwork LLC, the rights of my image in video or still, and of the likeness and sound of my voice as recorded on audio or video.
I understand that my image may be edited, copied, exhibited, published or distributed, and waive the right to inspect or approve the finished product wherein in my likeness appears. Additionally, I waive any right to royalties or other compensation arising or related to the use of my image or recording. I also understand that this material may be used in diverse educational settings or social media platforms within an unrestricted geographic area.

Attestation of good health

I hereby confirm that I have read and understood the above information and attest that my general health is good to participate.

Acknowledgment and Consent

I have read and fully understand this Liability Waiver and Release Agreement. I acknowledge that by signing this document, I am waiving certain legal rights, including the right to sue.

I sign this agreement voluntarily and with full knowledge of its implications.

By signing electronically, I confirm that I have read, understood, and agree to the terms of this waiver,