PARTICIPANT RELEASE FORM
HYPNOTIC BREATHWORK WITH DON RAY
An Awakening Plus Event
NOTE: THIS IS AN IMPORTANT LEGAL DOCUMENT THAT MAY AFFECT YOUR LEGAL RIGHTS. PLEASE READ CAREFULLY. YOUR PARTICIPATION IN HYPNOTIC BREATHWORK GIVES YOUR CONSENT TO THESE TERMS AND CONDITIONS.
I realize that HYPNOTIC BREATHWORK is a powerful experiential tool for accessing my own inner healer and can greatly intensify my transformational process.
Because this process uses heavy, intense breathing to bring up intense emotions and strong physical experiences, I have been advised that it is not recommended for those with certain types of cardiovascular problems, epilepsy, recent surgery, pregnancy, or psychosomatic, mental health, other physical health conditions or limitations, or serious emotional problems.
I hereby acknowledge that I have no such problems or conditions as listed above, or any other physical, mental, or emotional conditions that would prevent me from participating in HYPNOTIC BREATHWORK. I have fully disclosed any concerns regarding my physical, emotional, and mental background to DON RAY HYPNOSIS (click here to email Don Ray Hypnosis, or email [email protected]) prior to my participation. I realize that all staff, assistants, volunteers and/or agents are here only as a guide to my process, and none of the staff, assistants, volunteers, and/or agents are here to replace any form of traditional mental or physical health treatment or spiritual modalities. I have talked with any and all mental and physical health care professionals that I believe would be necessary to assess whether I would be an appropriate person to participate in the HYPNOTIC BREATHWORK process, based upon my physical, emotional, and mental health history and current condition(s). I attest that there is no reason why I should not be able to participate.
To this purpose, I voluntarily participate in the HYPNOTIC BREATHWORK process and I release and hold harmless DON RAY HYPNOSIS, including members of the staff individually and any assistants, volunteers, and/or agents, for any and all acts or omissions which may be grounds for legal action, including but not limited to acts or omissions which may constitute ordinary negligence. This release is intended to apply to all acts or omissions whether they be related to the staff, assistants, volunteers, and/or agents.
I accept full responsibility for my own physical, mental, emotional and spiritual well-being. I know of no physical or mental health reason why I should not participate in this event and I have fully explored this issue with DON RAY HYPNOSIS as well as any other medical and/or legal advisors I deem appropriate. I have asked all the questions I may have and have received adequate answers so that I freely and knowingly waive all liability as set forth above without reservation of any kind. I further attest and acknowledge that this release is intended and shall apply to my heirs, beneficiaries and assigns.
Click here to email Don Ray Hypnosis, or email [email protected].
