WAIVER and RELEASE OF LIABILITY FORM. ACKNOWLEDGEMENT OF PERSONAL RESPONSIBILITY.  YOU ARE RESPONSIBLE FOR YOUR OWN HEALTH, PRACTICE AT YOUR OWN RISK. 

While breathwork, coordinated movement, and yoga can provide benefits, they do have inherent risks.  I understand that I could injure myself and serious physical injury is possible.  I confirm that my health condition is fit to safely participate and that I have consulted the advice of a physician if I have any concerns.

I understand that Nicole Carpenter is not a registered medical practitioner.  Nicole Carpenter is a breathwork educator and yoga instructor.  No advice and activity presented, demonstrated, or advised during classes are in any way intended as a substitute for a medical consultation, and should not replace or interfere with any guidance offered by a medical professional.  I understand that I am the decision maker for my health care.  I understand that I am free to leave the course or class at any time for any reason. 

In consideration for admission to this class (a) I hereby accept full responsibility for and assume the risk of any injuries sustained because of my participation and (b) I hereby release and hold harmless Nicole Carpenter, the class instructors, and any representatives of The Breath and Balance for any liabilities, injuries and expenses which may arise because of participation in this class, home practice or workshops.  I hereby confirm that I have carefully read this disclaimer and have fully understood that this is a release of liability.  I agree not to sue or otherwise attempt to hold Nicole Carpenter or any representative of The Breath and Balance liable for any injuries regardless of the cause.