Waiver and Release Form 

Breathwork is a low-risk and very safe modality.

A report from MAPS in 2013 documented the results of 11,000 people over 12 years who participated in intense breathwork sessions. In addition to the many benefits that were observed, zero adverse reactions, injuries or negative effects were reported.

However there are a few medical conditions (listed below) which are contraindications, so you are asked to read and sign this waiver before participating in any Ishka breathwork sessions.

Please reach out if you have any of the medical conditions below or have any questions or concerns at all.

Breathwork is generally very safe, but certain conditions may make it unsuitable;

• PTSD

• Panic attacks

• Schizophrenia

• Bipolar disorder

• Epilepsy

• Aneurysm

• Heart conditions

• Extreme blood pressure

• Recent abdominal surgery

• Pregnancy

If you have any of these, or are taking strong medication, please contact us before participating.

By signing below, I acknowledge and agree that:

​

• I participate in Ishka Breathwork sessions voluntarily and at my own risk

​

• The facilitator and any assistants and venue are not liable for any injury, loss, or damage arising from my participation

• Breathwork sessions are not medical advice and are not a substitute for medical care

• I will keep all information about other participants confidential

• I release Ishka, its facilitators, assistants, and locations from any claims or liability related to my participation.

By signing you are agreeing to the above terms in relation to any and all Ishka Breathwork sessions you participate in.