Liability Waiver Grounded In Color Release, Waiver, Indemnity of Liability
This Participant Contract and Release, Waiver and Indemnity of Liability Agreement (hereinafter “Agreement”) is entered into by me (“Participant”) and Grounded In Color and/or Grounded In Color events, (“Organizer”). In consideration of being permitted to participate in the activities presented by the Organizer, the Parties hereby agree as follows:
This Agreement is made and entered into under the laws of the State of Florida and the United States and shall be interpreted, governed and enforced under and pursuant to these laws. The term of this Agreement is for periodic sessions over the next twelve months.
Participant agrees that should an action be brought against Organizer and/or any Breathwork Facilitator or Apprentice working in collaboration with the Organizer for any reason whether to enforce the terms of this agreement or on some other basis, that all disputes between Participant and Organizer and/or any Breathwork Facilitator or Apprentice working in collaboration with the Organizer will be litigated in Florida and Participant waives any rights he/she may have in litigating in any other jurisdiction.
Participant certifies that he/she is at least 18 years of age.
Participant certifies that he/she is not pregnant and 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; prior diagnosis by a Medical Professional of bipolar disorder or schizophrenia; strokes, TIAs, seizures or other brain/neurological condition or disease; family history of aneurysms; use of prescription blood thinners such as Coumadin; hospitalization for any psychiatric condition or emotional crisis within the last fifteen years; osteoporosis that is serious enough whereby intense movement could cause physical injury; 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 a session organized by Grounded In Color. If you have been diagnosed with PTSD and are currently in therapy, it is required that you get the approval of your therapist before participating. Also, if you have asthma, please make sure to have your inhaler next to you when you breathe in case you need it. If you have any doubt about whether you should participate, consult your physician or therapist as well as a Facilitator before attending. Participant also certifies that if he/she has asthma that he/she has brought and will have access to his/her inhaler during any sessions that Participant chooses to participate in.
Physical, Mental and Emotional Effects
Participant is aware that certain activities he/she may engage in during Breath & Tempo (the “Program”) are physically, emotionally and/or mentally stressful. Among other processes, it may 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. Physical Activities can include violent twisting and turning while prostate or sitting and other exertions not normally engaged in by Participant. Loud music is also used with the described activities.
Participant agrees to comply with the stated and customary guidance and norms of participation in The Grounded In Color sessions. If, however, Participant observes any unusual hazard during his/her participation including but not limited to any physical symptoms that Participant feels could be a danger to his/her physical well-being, participant will immediately remove himself/herself from participation in the session and bring such to the attention of the Organizer or a Facilitator forthwith.
Participant acknowledges that he/she has been advised (a) concerning the types of activities which will be engaged in during the Program, and understands the risks and difficulties that may arise during the Program; and (b) that if Participant feels too uncomfortable to continue at any point during the breathwork, he/she is to stop immediately and check in with Organizer before continuing. Participant understands that he/she may decline to do any of the activities. Participant understands that by executing this release and engaging in the Program, he/she is assuming those risks which are inherent to the activities involved. Participant further understands that these activities are best done in presence of or in conjunction with the Organizer, for best results.
Participant understands and agrees that, if this is an in-person Grounded In Color Program, Organizer is not responsible for property that is lost, stolen, or damaged while in, on, or about the premises.
Participant understands that a breathwork practices are intended as a personal growth experiences and should not be used as a substitute for psychotherapy.
Participant knows, understands and acknowledges that Organizer and/or Breathwork Facilitators and/or Apprentices are NOT physicians, psychologists, or healthcare professionals, and that breathwork is NOT intended to treat or diagnose, and does NOT include treatment for or diagnosis of, any illnesses, disease or disorders, whether physical, mental, psychological or emotional.
Participant acknowledges, understands, and agrees that this Agreement, and all of the releases, terms and conditions contained herein, shall apply with equal force and govern any future Grounded In Color Programs, both in-person and online, in which participant partakes with Organizer thus obviating the need for me to sign this Agreement each and every time I partake in any activities or events offered by Grounded In Color.
Participant further agrees to bring any changes in their Medical condition to Organizer’s attention before participating in any Grounded In Color event.
Participant understands that contra-indications may exist for the anticipated activities if Participant is or has been suffering medical or psychological / psychiatric conditions requiring professional care; and that the activities described can also trigger suppressed traumas.
Participant agrees to assume full responsibility for his/her own physical, emotional and mental health and hold harmless Organizer, and/or any Breathwork Facilitators and Apprentices working with organizer at the Program from any physical, emotional and/or mental damage that may be attributed to it. Participant further holds harmless organizer from any and all loss, liability, injury, damage or cost which may arise out of or in connection with participation in the Program.
Participant agrees to keep confidential any comments, shares or experiences by other participants.
Participant understands and agrees that he/she is attending and participating in the Program at the discretion of Organizer, which attendance and/or participation can be terminated at any time without being informed of the reason therefor. Participant agrees not to record – audio or video – any of these sessions or any persons participating therein. Still photographs will not be taken of any person except with the advance consent of the person being photographed.
YOU AGREE TO ABSOLVE THE COMPANY OF ANY AND ALL LIABILITY OR LOSS THAT YOU OR ANY PERSON OR ENTITY ASSOCIATED WITH YOU MAY SUFFER OR INCUR AS A RESULT OF USE OF THE INFORMATION CONTAINED ON THIS WEBSITE AND/OR THE RESOURCES YOU MAY DOWNLOAD FROM THIS WEBSITE. YOU AGREE THAT THE COMPANY SHALL NOT BE LIABLE TO YOU FOR ANY TYPE OF DAMAGES, INCLUDING DIRECT, INDIRECT, SPECIAL, INCIDENTAL, EQUITABLE, OR CONSEQUENTIAL LOSS OR DAMAGES FOR USE OF THIS WEBSITE.
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I have read this agreement and understand it contains release of all claimslanguage for injuries and damages and I have either consulted an attorney or, at my sole discretion, elected not to do so. I voluntarily sign my name evidencing acceptance of the provisions of this agreement. If English is not my native language I have either studied enough English to be able to read and understand this agreement, or I have had this agreement explained to me in my native language.
Grounded In Color
Email Address: Groundedincolorinfo@gmail.com
Effective as of April 10, 2023