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 or medical treatment. I recognize that breathwork requires emotional, physical, and mental effort, exertion, and behavioral experimentation on my part, which may cause physical, mental or emotional distress. 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 breathwork or other healing modalities. I agree that my participation is entirely voluntary and that I assume any risk associated with MY participation. Any actions or lack of actions, taken by me, the client, of  BREATHWORK is done solely by my choice 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 Flourish As One, LLC or THE trained Facilitator for Flourish As One LLC.I agree to assume any financial obligation, either through my personal health insurance, or through some other means, for any BREATHWORK costs I incur with Flourish As One LLC OR ITS FACILITATORS.  FURTHER, Flourish As One, LLC and ITS Facilitators assume no responsibility for any medical expenses, injury, or damage WHATSOEVER suffered by me in connection with the use of any facilities or services WHERE BREATHWORK WITH FLOURISH AS ONE LLC OCCURRED.  I will reimburse Flourish As One, LLC AND/OR ITS BREATHWORK FACILITATORS for any damages, reasonable settlements and defense costs, including attorney’s fees, that IT/they incur because of any such claims made against IT/them THAT IN ANY WAY INVOLVE ME. I agree that ALL OF the terms of this agreement, including the indemnification obligations in this paragraph, will be binding on my estate, and my personal representative(S), executor(S), administrator(S), RELATIVE(S), employee(S) or guardian(S). 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 Pennsylvania 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 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 or medical treatment. I recognize that breathwork requires emotional, physical, and mental effort, exertion, and behavioral experimentation on my part, which may cause physical, mental or emotional distress. 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 breathwork or other healing modalities. I agree that my participation is entirely voluntary and that I assume any risk associated with MY participation. Any actions or lack of actions, taken by me, the client, of  BREATHWORK is done solely by my choice 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 Flourish As One, LLC or THE trained Facilitator for Flourish As One LLC.I agree to assume any financial obligation, either through my personal health insurance, or through some other means, for any BREATHWORK costs I incur with Flourish As One LLC OR ITS FACILITATORS.  FURTHER, Flourish As One, LLC and ITS Facilitators assume no responsibility for any medical expenses, injury, or damage WHATSOEVER suffered by me in connection with the use of any facilities or services WHERE BREATHWORK WITH FLOURISH AS ONE LLC OCCURRED.  I will reimburse Flourish As One, LLC AND/OR ITS BREATHWORK FACILITATORS for any damages, reasonable settlements and defense costs, including attorney’s fees, that IT/they incur because of any such claims made against IT/them THAT IN ANY WAY INVOLVE ME. I agree that ALL OF the terms of this agreement, including the indemnification obligations in this paragraph, will be binding on my estate, and my personal representative(S), executor(S), administrator(S), RELATIVE(S), employee(S) or guardian(S). 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 Pennsylvania 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.

Did you or presently have any of the following conditions?

Angina, Cardiovascular disease, Heart attack, High blood pressure, Glaucoma, Retinal detachment, Osteoporosis, Seizure disorders, Recent injury or surgery, Any condition for which you take regular medications, History of panic attacks, History of psychosis, Severe untreated mental illness, Family history of aneurysms, Frequent dizziness or vertigo, Currently pregnant

If you have any other medical conditions that you think may need to be express or have questions about the above please email us at [email protected]

If you have one or more of the above conditions, it is advised you consult your physician before engaging in meditative breathwork. Tell your physician which questions you answered “Yes” to. After a medical evaluation, seek advice from your physician on what type of activity is suitable for your current condition.

By checking the box you attest to the truthfulness of your statements and answers. We reserve the right to determine eligibility for engagement and participation in our program based upon the answers given.

PREPARING FOR YOUR SESSION

To cultivate the best experience, please come to the session with an intention or mantra. An open intention is also welcome to leave space for whatever wants to come through. To maximize your comfort, we suggest limiting food to 2 hours before and water to 1 hour before your session.

PREPPING THE SPACE

We invite you to set up a space where you feel comfortable and safe and will not be disturbed. You are welcome to use headphones, an eye mask, incense/essential oils, a blanket or pillow, a yoga mat or anything else that will feel supportive to your practice. It may be helpful to have a journal and a pen close by to reflect on your thoughts after your session if you choose. Please set up your computer or phone in a way that we can see your body while you are breathing.

This will allow us to support and guide you to the best of our ability.

You are in full control of your body throughout the session. We honor the pace, intensity, and type of breath that will feel right to you every moment throughout.