Japa Breathwork Release of Liability Waiver and Assumption of Risk Agreement

In consideration of being permitted to participate in any way in Breathwork practices, as well as any related events or activities with Japa Breathwork, (hereinafter collectively “the Activities”) I, the undersigned, hereby acknowledge, understand and expressly agree as to the following:

I, the undersigned participant, acknowledge that I am voluntarily participating in a Breathwork session facilitated by Japa Breathwork. I understand that Breathwork is a powerful and generally safe practice that supports emotional, physical, and mental well-being. However, as with any wellness practice, there are important precautions to consider.

This waiver outlines those precautions and ensures that I understand the potential effects of Breathwork, take personal responsibility for my participation, and release the facilitators and business from liability.

Voluntary Participation
I acknowledge that my participation in this Breathwork session is entirely voluntary. I assume full responsibility for my health and well-being throughout the session and agree to follow the instructions provided. I understand that I may modify or discontinue any technique at any time based on my comfort level.

Health and Medical Conditions
I affirm that I am in good health and have no known medical or psychological conditions that would make participation inadvisable. If I have any concerns, I have consulted with a medical professional before engaging in Breathwork.

I understand that if I have any of the following conditions, this type of breathwork is not safe for me and I must obtain medical clearance before participating:

  • Cardiovascular disease, angina, heart attack, or high blood pressure

  • Glaucoma, retinal detachment, or osteoporosis

  • Recent injuries or surgeries

  • A condition requiring regular medication

  • History of panic attacks, psychosis, or severe mental illness

  • Seizure disorders or a family history of aneurysms

  • Frequent dizziness or vertigo

  • Pregnant beyond first trimester

By signing this waiver, I confirm that I have received clearance from a medical physician, disclosed any relevant health conditions to the instructor, and assume full responsibility for my participation.

Assumption of Risks
I understand that Breathwork may induce various physiological and psychological effects, including but not limited to:

  • Emotional responses such as joy, sadness, anger, or anxiety

  • Physical sensations including tingling, muscle tension, dizziness, or lightheadedness

  • Altered states of consciousness, time distortion, or disconnection from reality

  • Potential resurfacing of emotional memories or psychological discomfort

  • Symptoms of hyperventilation

  • Physical fatigue

I voluntarily assume all risks associated with participating in this Breathwork session.

No Medical or Psychological Advice Provided
I acknowledge that Breathwork is not a substitute for medical or psychological care. Japa Breathwork does not provide diagnosis, treatment, or medical advice. This session is not intended to replace the care of licensed medical or mental health professionals.

If I have concerns about my physical or mental health, I agree to consult with a licensed healthcare provider prior to participating.

Confidentiality and Group Agreement (For Group Sessions)
If participating in a group session, I agree to respect the confidentiality of others and maintain a safe and respectful space. I will not disclose or discuss personal experiences shared by other participants outside the session.

Technology and Online Sessions Disclaimer (For Virtual Sessions)
For virtual sessions, I acknowledge that internet issues, interruptions, or environmental distractions may occur. I take full responsibility for ensuring that I participate in a safe, private, and comfortable environment. Japa Breathwork is not liable for any injuries, discomfort, or reactions that may occur during a virtual session.

Emergency Situations and Personal Responsibility
I understand that Breathwork can be intense, and in rare cases may cause strong emotional or physical responses. If I feel unsafe or unwell at any point, I will stop the practice and seek appropriate medical or psychological care. In the event of an emergency, I acknowledge that Japa Breathwork does not provide medical assistance and I am responsible for my own safety and wellbeing.

No Guarantee of Outcomes
I understand that Breathwork experiences vary from person to person, and no specific outcomes are guaranteed. Japa Breathwork offers guidance, but my personal experience and results are my responsibility.

Release of Liability
I, for myself and on behalf of my heirs, executors, and assigns, hereby release, waive, and discharge Japa Breathwork, including but not limited to its facilitators, representatives, employees, agents, affiliates, and instructors from any and all claims, liabilities, actions, demands, expenses, or legal rights of action, whether known or unknown, arising out of or in connection with my participation in Breathwork sessions.

I acknowledge and accept all risks associated with my participation. I voluntarily waive any right to pursue legal claims against Japa Breathwork and release Japa Breathwork and its affiliates from all liability for any injury, loss, or damage that may arise.

Responsibility for Personal Property
I understand that I am solely responsible for my personal belongings and that Japa Breathwork is not liable for any lost, stolen, or damaged items during the session.

Agreement to Indemnify
I agree to indemnify and hold harmless Japa Breathwork and its facilitators, representatives, employees, agents, and affiliates from any claims, demands, damages, or expenses (including attorney’s fees) that may arise due to my participation in Breathwork sessions. This includes any third-party claims arising from my actions during or after the session.

Agreement to Terms and Conditions
I understand that by participating in this session, I am agreeing to the Japa Breathwork Terms and Conditions, including the media release. This grants Japa Breathwork permission to use photos and recordings for promotional purposes.

Acknowledgment and Consent
I have read and fully understand this Liability Waiver and Release Agreement. I understand that by signing this document, I am voluntarily assuming certain risks and waiving specific legal rights, including the right to make any legal claims against Japa Breathwork.

By agreeing electronically, verbally, or in writing, I confirm that I have read, understood, and accept the terms of this waiver.