I am fully informed to my satisfaction about the Inspire Coaching training. I willingly choose to participate in the training at this time. In consideration of being permitted to participate in the activities involving Inspire Coachings’ Breathwork Trainings ("ICB"). Participants should have no doubts about their mental health, emotional stability or physical ability to handle this training. Any doubts they may have, has been resolved by them before they decided to enroll by consulting a physician, psychiatrist, psychotherapist or psychologist knowledgeable about Inspire Coaching, who has no objections to my participation in ICB.

I understand that Inspire Coaching, its employees and the team members are here to assist me and are responsible only for presenting the training in an orderly manner. Inspire Coaching is not my fiduciary and I do not expect this training to be administered with the standard of care expected of trained mental health professionals. If I feel mental or physical discomfort or adverse effects during the training, I promise to inform the trainer or staff immediately. I understand I am free to leave the training at any time for any reason. If I feel I need assistance from anyone, professional or otherwise, I take full responsibility for leaving the training and obtaining it for myself.

Participant certifies that he/she is does not have epilepsy, a detached retina, glaucoma, uncontrolled high blood pressure, cardiovascular disease and/or irregularities including but not limited to prior heart attack or heart arrhythmia; strokes, TIAs, seizures or other brain/neurological condition or disease; family history of aneurysms; use of prescription blood thinners such as Coumadin; If Participant is pregnant, she has discussed and obtained the permission of OBGYN to attend these sessions.

Participant should review participation with their physician if they have serious osteoporosis; the intense movement could cause physical injury. Participants are reminded that recent
physical injuries that are not fully healed and could be re-injured through intense movement; or any other medical or physical conditions which would impair or affect his/her ability to engage in any activities that involve physical and/or emotional release or which would cause any risk of harm to Participant, other participants and/or any participating Breathwork Facilitators and/or Apprentices or otherwise endanger Participant’s health while participating in the Breathwork session organized by Inspire Coaching.

Participant also certifies that if he/she has asthma that he/she has brought and will have access to his/her inhaler during the ICB session.

Participants understand that loud music is also used during the training. The sessions will include breathing that is faster and deeper than normal over a prolonged period which can cause dizziness, palpitations, tingling/numbness of the extremities, carpopedal spasms (involuntary contractions of the muscles of the hands and feet), ringing/roaring in the ears, clouded/distorted vision, perceptual distortions, and feelings of lightness, astonishment and/or euphoria.

I understand the Inspire Coaching training, is an experiential, philosophical, educational program that may or may not assist in personal growth. It is not intended to be psychotherapy or medical therapy or a substitute for either one.

Inspire Coaching trainers are not licensed psychiatrists or psychologists I further understand that several of the processes in the training involve sharing and I may experience deep emotions and possibly emotional stress, anxiety, tears, physical discomfort or exhaustion.

By checking this box, I am fully aware that participating in this Inspire Coaching training maycontain risks of physical and psychological injury. I know and understand the scope, nature andextent of the risks involved in the training and activities contemplated by this Agreement. Ivoluntarily and freely choose to incur and assume any and all such risks and dangers.

By Checking this box, I hereby fully and forever discharge and release InspireCoaching from any and all liability, claims, demands, actions and causes of action whatsoeverarising out of any damages, both in law and equity, in any way resulting from personal, physical,psychological or emotional injuries, distress or death sustained that I claim out of the InspireCoaching training or any of its associated activities. Exemption from liability in this provisionincludes loss, damage or injury resulting from the negligence of Inspire Coaching or its trainingparticipants or from any other cause or causes.

By Checking this box, I agree not to institute, initiate or assist the prosecution of anysuit, claim or action at law or equity, or otherwise, against Inspire Coaching or its trainingparticipants for damages which I or my heirs, executors, administrators or assigns hereafter may have arising from the Inspire Coaching training or any of its associated activities.

By Checking this box, I agree to indemnify and hold harmless Inspire Coaching and itstraining participants from any and all losses, claims, actions or proceedings of any kind which maybe based on my participation in the Inspire Coaching training and which may be initiated by meand/or any other person or organization on my behalf, or by any other person or third parties(including other participants of the training) on their own behalf. This includes reimbursement ofall legal costs and reasonable counsel fees incurred by Inspire Coaching or other indemnifiedparties for the defense of any such actions which may arise directly or indirectly from myparticipation in the Inspire Coaching training.

By Checking this box, I understand and agree that I am waiving and foreverabandoning any claims for punitive or exemplary damages against Inspire Coaching. I voluntarilychoose to give up this right.

By Checking this box, I understand Inspire Coaching does not provide any insurance, either medical or liability, for any incident occurring as a result of my participation in the InspireCoaching training or its associated activities, and if I want insurance of any kind, I must furnish my own.

By Checking this box, I agree that any controversy or claim not effectively releasedin this Agreement arising out of or relating to my participation in the Inspire Coaching training will be determined by submission to arbitration in accordance with the rules of the AmericanArbitration Association (except that punitive damages are waived in SECTION II, paragraph 5above), and not by lawsuit or resort to court process (except as applicable law provides for judicial review of arbitration proceedings). This agreement includes arbitration of claims againstInspire Coaching that there have been any wrongful acts or omissions by Inspire Coaching, or other participants, intentional or otherwise. The decision of the arbitrators may be entered in any court having jurisdiction in such matters. By signing this I am agreeing to have any issue or claim arising out of my participation in this training decided by neutral arbitration and I am giving up my right to a jury or a court trial.