Breathwork/Somatic Work

I acknowledge that I have voluntarily enrolled in this Breathwork activity. I understand that I am under no obligation of any kind to participate in this Breathwork/Somatic Work activity, and I voluntarily enter into this Waiver and Release of Liability. I understand that Breathwork/Somatic Work is a personal growth experience designed to enhance the quality of life, and is not a substitute for psychotherapy. I understand that this Breathwork/Somatic Work activity will involve strong connected breathing and may include a guided meditation. I understand that Breathwork/Somatic Work can involve dramatic experiences accompanied by strong emotional and physical responses. I understand that I may find Breathwork/Somatic Work physically, emotionally, and/or mentally stressful. I hereby affirm that I am in good health and able to participate in this activity. I do not have any physical or mental conditions which would impair my ability to engage in this activity or which would otherwise endanger my health during this Breathwork/Somatic Work activity or which would cause any risk of harm to myself or other participants. I understand that this Breathwork/Somatic Work activity is not medically supervised. I have hereby been advised that I should talk to my physician and/or psychotherapist if I have any questions about my physical or mental ability to safely participate in this Breathwork/Somatic Work activity. If I have chosen not to obtain a physician’s consent prior to my participation in Breathwork/Somatic Work, I hereby agree that I am doing so solely at my own risk. I understand that it is my sole responsibility to participate in activities that are appropriate for the current status of my health and to modify this Breathwork/Somatic Work activity to accommodate my own needs or limitations. If I have any questions or concerns about whether or not a particular activity is appropriate to my current health status, I understand it is my responsibility to ask my doctor before I participate in such activity. I agree to indemnify and hold harmless Rochelle Belk, Shelly Belk Coaching LLC. from and against any and all claims and expenses, including attorney’s fees, arising out of my participation in this Breathwork/Somatic Work activity. In consideration of my participation in this Breathwork/Somatic Work activity, I hereby waive and release Rochelle Belk, Shelly Belk Coaching LLC. from any and all claims, costs, liability, and expense for any injury, loss, or damage, whether known, anticipated, or unanticipated arising from my participation in Breathwork/Somatic Work. This Waiver and Release of Liability shall be construed broadly to provide a release and waiver to the maximum extent permissible under applicable law. I acknowledge that I have thoroughly read this Waiver and Release of Liability in its entirety and fully understand it. By signing this document, I am waiving certain rights I and/or my successors might have to bring legal action or assert a claim against Rochelle Belk or Shelly Belk Coaching LLC.