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And Breathe Breathwork Academy Information Form & Waiver 

What Breathwork is

Breathwork describes a group of exercises that teach you to manipulate your breathing rate and depth with the goal of bringing awareness to your breath and ultimately providing the same benefits you might get from a meditative practice.

What Breathwork is *not*

I am not a licensed physician. Breathwork is not licensed by the state of New Hampshire and, as a complementary or alternative practice, does not require licensing by the state. Breathwork and meditation are a complement to, not replacement for,  "healing arts services licensed by the state", ie, it is a complement to services provided by doctors, nurses, and hospitals. 

Nature of the Services Provided

Breathwork Sessions: The client participates in breathing exercises with eyes closed and in a safe position. Do not perform breathwork while driving. You might experience a stress release, emotional release, heightened sense of elation in the body.

What you should know about Breathwork 

Breathwork is generally safe when practiced with care.  However, there are a few cases when it would not be advised to do breathwork; namely for anyone with a known cardiac arrhythmia (including very slow heart rate), a history of heart block, or people taking certain antipsychotic medications. Additionally, some types of breathwork can induce hyperventilation, which can bring on dizziness, chest pain, and pounding heartbeat.

Check with your doctor before you start a breathwork practice if you have a history of any of the following or are currently taking antipsychotic medications.

Breathwork not recommended if you have any of the following:

• breathing issues
• cardiovascular issues
• high blood pressure
• history of aneurysms
• osteoporosis
• recent physical injuries or surgeries
• severe psychiatric symptoms
• vision issues

Theory of Breathwork

Breathwork is researched intentional breathing techniques that provide a heightened physiological experience and decrease stress on the system.

Cathy’s Qualifications

Cathy has been practicing breathwork since 2016 and teaching breathwork since 2020. She is a licensed teacher of breathwork through The Whole Health Project. She was certified through the Yoga Alliance in 2022. She has completed: 200 hour Yoga Teacher Training with Barre & Soul Academy, is an Integrative Medicine Practitioner, IIN-Certified Holistic Nutrition Health Coach and Certified Trauma and Recovery Practitioner- Harvard Extension School. She continues to study various modalities to enhance her practice. 

Waiver 

You agree that you do not know of any medical reason why you should not participate in breathwork. Your participation is optional and you understand that such physical activity has inherent risks. If you participate in breathwork, you knowingly assume full responsibility for any risk of loss including but not limited to, personal injury, including serious injury, disability, death, or economic losses including but not limited to loss of income, or medical expenses which you may sustain as a result of your participation.

You understand that spiritual and healing methodologies have the potential to create intense emotions and strong physical experiences that may require additional therapeutic or supportive interventions. Our services are for educational purposes only and do not constitute counseling, psychotherapy or psychoanalysis or deal with the diagnosis or treatment of medical issues and do not replace the treatment and guidance of a medical doctor. You acknowledge that we do not provide medical treatment and that you will seek medical, therapy or psychotherapy services, if needed.   

I acknowledge breathwork is not a substitute for any type of therapy. I understand that this breathwork/somatic work, sound healing, energy healing or reiki activity will involve strong connected breathing and may include guided meditation. I understand that breathwork can involve dramatic experiences accompanied by strong emotional and physical responses. I understand that I may find breathwork emotionally, and/or mentally stressful. I hereby affirm that I am in good health and able to participate in this activity. I do not have any physical or mental conditions which would impair my ability to engage in this activity or which would otherwise endanger my health or which would cause any risk of harm to myself. I understand that this breathwork is  not medically supervised. I have hereby been advised that I should talk to my physician and/or psychotherapist if I have any questions about my physical or mental ability to safely participate in this breathwork. If I have chosen not to obtain a physician's consent prior to my participation I hereby agree that I am doing so solely at my own risk.

I hereby waive and release Hygiea Health & Wellness, LLC (Cathy L Sharpe), any employees, associates, representatives, agents, independent contractors and any related entities from any and all claims, costs, liability and expense for any injury, loss or damage (including death) whether known, anticipated or unanticipated, negligent or intentional acts or omissions arising from my participation in breathwork.

I acknowledge that I have thoroughly read this And Breathe Breathwork Academy Information Form & Waiver in its entirety and fully understand it. 

Client Acknowledgment 

I have been provided with a copy of the above document, in accordance with and consent to practicing breathwork. While Breathwork is not licensed in my state of residency it is your own  responsibility as the student to check with your state for specific practicing laws.