BREATHWORK RELEASE WAIVER

INFORMED CONSENT: I certify that I am a competent adult of at least 18 years of age.

This Informed Consent is freely and voluntarily executed and shall be binding upon my spouse, relatives, legal representatives, heirs, administrators, successors and assignees.

I certify that I am in adequate physical, emotional and mental health to participate in a Breathwork session.

I acknowledge that should this information change, it is my sole responsibility to notify my Breathwork Facilitator (TWENTY HIVE INC.).

AUTHORIZATION OF SERVICE:

I consent to and authorize TWENTY HIVE INC. to guide me in a Breathwork and Meditation Session as specified by my facilitator. This session may include breathwork, meditation, and journaling support.

I understand that TWENTY HIVE INC. is not a licensed physician or functional breathing specialist and does not dispense medical advice or prescribe the use of any technique as a form of treatment for any physical or psychological conditions without the advice of a physician - either directly or indirectly.

As a Breathwork Facilitator, TWENTY HIVE INC. offers information of a general nature to help clients in their journey toward greater self-awareness, mind-body connection, emotional, mental, physical, and spiritual wellbeing and TWENTY HIVE INC. assumes no responsibility for how I (the client) may use this information.

CONTRAINDICATIONS: Breathwork is not recommended for people with a personal or family history of epilepsy, seizures, cardiovascular problems including angina or heart attacks, high blood pressure, aneurysms, glaucoma, retinal detachment, osteoporosis, or recent physical injuries, surgery or illness - particularly involving the brain, mouth, teeth, nose, throat, thyroid, immune system, lymphatic system, lungs, chest, ribs, spine, neck and/or reproductive organs.

Breathwork is not recommended for people with a personal history of mental illness, personality disorders, hospitalization for any psychiatric condition or emotional crisis, suicidality, psychosis, drug or alcohol addiction.

Possible side effects: Possible side effects may include dizziness, fainting, changes in body temperature, disorientation, tingling, carpopedal spasms, cramping, emotional breakthroughs, feeling physical, mental, energetic and/or emotional triggering and/or vulnerability. The nature of the service/session has been explained to me. I understand that the session may involve risks of complications or injury from both known and unknown causes, and I freely assume these risks.

RIGHT OF REFUSAL:

I understand that I have the right to refuse to participate in the session.

No guarantee, warranty or assurance has been made to me as to the results that may be obtained.

LIMITATION OF LIABILITY:

I understand that breathwork can be a powerful and transformative practice, but like any deeply introspective work, it carries certain inherent risks. I acknowledge that my participation in breathwork sessions with TWENTY HIVE INC. is entirely voluntary and undertaken at my own risk.

I agree to release, discharge, and hold harmless TWENTY HIVE INC., its owners, facilitators, employees, contractors, agents, and affiliates from any claims, liabilities, or causes of action that may arise from my participation, including but not limited to physical, emotional, or psychological effects, whether foreseen or unforeseen.

This release extends to any incidents occurring before, during, or after my participation in any breathwork session or related activities to the fullest extent permitted by law.

I certify the above information is correct to the best of my knowledge.

I agree to adhere to all safety precautions and regulations during my sessions with TWENTY HIVE INC.