Name * First Name Last Name Email * Waiver * The following conditions are Contraindications that are not safe to practice Breathwork with without your physician's approval: o Cardiovascular disease (angina, previous heart attacks, or strokes) o Detached retina o Glaucoma o Aneurysm in brain or abdomen o Kidney disease o Severe Asthma o Epilepsy I understand that it is my responsibility to receive approval from my physician if I have any questions about my physical or mental ability to safely participate in this breathwork activity. I agree Thank you!