Somatic Breathwork Waiver

Waiver

I acknowledge that SomatIQ Breathwork™ is a deep and powerful process. I have notified the practitioners of any physical injuries, mental or psychological conditions I have. I engage in this experience willingly and take full responsibility for my own physical, mental, and emotional experiences during and after the session. 

Contraindications 

SomatIQ Breathwork™ is intended as a personal growth experience and should not be looked upon as a substitute for psychotherapy. 

It is not appropriate for the following populations:

  • Pregnant women
  • Persons currently experiencing any of the following:
    • Cardiovascular problems, including angina or heart attack
    • High blood pressure
    • Glaucoma
    • Retinal detachment
    • Osteoporosis
    • History of seizures or stroke
    • Major psychiatric conditions
    • Recent surgery
    • Acute infectious illness
    • Epilepsy

If you have any doubt about whether you should participate, please consult with your primary care physician. Persons with asthma should bring their inhaler and consult with their primary care physician.

Release 

I hereby release and hold harmless Anita Pandit and This Little Universe LLC from any and all results that arise during or from the Somatic Release Breathwork. I waive all rights under law regarding the same. I or my representative(s) agree to full release and hold Anita Pandit and This Little Universe LLC harmless from and against any and all claims or liability of whatsoever kind or nature arising out of or in connection with my session(s).  

Attestation of good health 

By typing my name in the text box during scheduling, I hereby confirm that I have read, understood, and agreed with the above information and attest that my general health is good to participate.