As the client, and in consideration for my participation in an event with Kaleidoscope Company LLC. I agree that my participation in any breathwork workshop or experience 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 workshop, session or event, is neither the responsibility nor liability of Kaleidoscope Company LLC nor any facilitator or coach working under Kaleidoscope Company LLC.

I understand that during any event, I may be photographed or video recorded and this content may be used for promotional and/or training purposes. Breathwork calls on zoom are subject to being included in products and made accessible to people outside of the live call attendees. Any commentary or participation on the call may be included in the recording. 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 Practicum.

CONTRAINDICATIONS FOR BREATHWORK
Like most types of therapy, Breathwork isn’t appropriate for everyone. It is also important to note that a contraindication for some types of Breathwork may not be one for another. For example, types of breathwork that use rapid breathing may be very risky for someone with certain health conditions, such as a high blood pressure, cardiovascular issues, a recent surgery, or osteoporosis. However, a type of Breathwork that utilizes a more gentle and relaxed form of breathing may be perfectly safe, and even beneficial. It’s recommended that you consult with your healthcare provider (including any mental health provider) and consult with the Breathwork practitioner before participating in any form of Breathwork.

Following is a list of some of the most common contraindications for Breathwork:
- Cardiovascular problems
- High or abnormal blood pressure
- History of aneurisms
- Epilepsy or history of seizures
- Anyone on heavy medication
- Severe psychiatric symptoms, particularly psychosis or paranoia
- Bipolar Depression
- Osteoporosis
- Recent Surgery
- Glaucoma
- Pregnancy
- An active addiction
- Any person with mental illness who isn’t in treatment or lacks adequate support

Breathwork can result in intense physical and emotional release. Therefore, it is not advised for persons with a history of cardiovascular disease, including angina or heart attack, high blood pressure, glaucoma, retinal detachment, osteoporosis, any specific recent physical injuries or surgeries. Breathwork is not advised for persons with severe mental illness or seizure disorders or for person’s using major medications. It is also unsuitable for anyone with a personal or family history of aneurysms. Pregnant women are advised against practicing breathwork without first consulting and getting approval from their primary care physician and the Breathwork facilitator before their first 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. Kaleidoscope Company LLC and associated facilitators 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 event.

IN CONSIDERATION OF MY PARTICIPATION IN THE EVENT, I HEREBY GENERALLY RELEASE, AND PROMISE TO INDEMNIFY, DEFEND, AND HOLD HARMLESS KALEIDOSCOPE COMPANY LLC AND FACILITATORS, AND THEIR RESPECTIVE AGENTS AND EMPLOYEES (THE “RELEASE PARTIES”), FROM ANY LIABILITY WHATSOEVER. I will reimburse Kaleidoscope Company LLC 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 California 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, the participant, affirm that I am of the age of 18 years or older, and that I am freely entering into this agreement by purchasing this ticket and/or attending this event.

I certify that I have read this agreement, that I fully understand its content and that this release cannot be modified orally.

I am aware that this is a release of liability and a contract and that I am agreeing to of my own free will. By purchasing this ticket and/or participating in this event or any breathwork practice associated or created by Kaleidoscope Company LLC I acknowledge that I have been sufficiently informed of the risks involved and give my voluntary consent in in total agreement to this release of liability as my own free act and deed; that I give my voluntary consent in agreement to this Liability Release Waiver as my own free act and deed with full intention to be bound by the same, and free from any inducement or representation simply by purchasing this ticket and/or attending this event.

To submit questions regarding this release please email: [email protected]