Participant Waiver
​​​​​​​ & Release Form

As a condition of my participation in any activity, session, event, retreat, training, or program offered by Alchemy of Breath (AoB), ASHA Retreat & Community Center (ASHA), and/or any affiliated facilitators, trainers, employees, volunteers, or students (collectively referred to as “AoB/ASHA”), I hereby:

• Fully assume all risks associated with my participation, including physical, emotional, psychological, and environmental risks.

• Voluntarily release, waive, and discharge AoB, ASHA, its owners, directors, trainers, employees, agents, assistants, students, and representatives from any and all claims, liabilities, demands, actions, or causes of action arising from or related to:

 – my participation
 – any injury (physical or emotional)
 – accidents
 – medical events
 – personal loss
 – property damage

This release applies regardless of cause or negligence and covers all activities before, during, and after my participation.

I confirm that I am participating of my own free will and am solely responsible for my physical, emotional, and mental wellbeing throughout.

I grant AoB, ASHA, and their authorized representatives permission to record, photograph, film, or capture my participation in any format.

I further agree that:

• AoB/ASHA may use these images or recordings in any form (including digital, print, promotional, educational, or online media) for future publications, marketing, or organizational purposes.

• No payment, special credit, royalties, or compensation will be provided for such use.
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• All such materials become the property of AoB/ASHA and may be used now or in the future without limitation.

I confirm that the above information is complete and accurate to the best of my knowledge. I understand that disclosing relevant medical or psychological information is essential for my safety and for the facilitators to support me appropriately.  I also understand this information is confidential, and only shared within AoB / ASHA team to help support me.

By signing below, I declare that:

• I have read and fully understand this waiver and release.
• I understand that breathwork and related practices can be physically and emotionally intense.
• I am participating voluntarily and accept full responsibility for my wellbeing.
• I agree to all terms stated in this document.