top of page

WAIVER AND RELEASE OF LIABILITY 
 
In consideration of the risk of injury while participating in Breathwork Event (the 
"Activity"), and as consideration for the right to participate in the Activity, I hereby, for 
myself, my heirs, executors, administrators, assigns, or personal representatives, 
knowingly and voluntarily enter into this waiver and release of liability and hereby waive 
any and all rights, claims or causes of action of any kind whatsoever arising out of my 
participation in the Activity, and do hereby release and forever discharge Andrea Migliore of Kailua, HI, their affiliates, managers, members, agents, attorneys, staff, volunteers, heirs, representatives, partners, predecessors, successors and assigns, and the venue where this event is taking place, including the venue owners, for any physical or psychological injury, including but not limited to illness, paralysis, death, damages, economical or emotional loss, that I may suffer as a direct result of my participation in the aforementioned Activity, including traveling to and from an event related to this Activity. 
 
I AM VOLUNTARILY PARTICIPATING IN THE AFOREMENTIONED ACTIVITY AND I 
AM PARTICIPATING IN THE ACTIVITY ENTIRELY AT MY OWN RISK. I AM AWARE 
OF THE RISKS ASSOCIATED WITH TRAVELING TO AND FROM AS WELL AS 
PARTICIPATING IN THIS ACTIVITY, WHICH MAY INCLUDE, BUT ARE NOT 
LIMITED TO, PHYSICAL OR PSYCHOLOGICAL INJURY, PAIN, SUFFERING, 
ILLNESS, DISFIGUREMENT, TEMPORARY OR PERMANENT DISABILITY 
(INCLUDING PARALYSIS), ECONOMIC OR EMOTIONAL LOSS, AND DEATH. I 
UNDERSTAND THAT THESE INJURIES OR OUTCOMES MAY ARISE FROM MY 
OWN OR OTHERS' NEGLIGENCE, CONDITIONS RELATED TO TRAVEL, OR THE 
CONDITION OF THE ACTIVITY LOCATION(S). NONETHELESS, I ASSUME ALL 
RELATED RISKS, BOTH KNOWN OR UNKNOWN TO ME, OF MY PARTICIPATION 
IN THIS ACTIVITY, INCLUDING TRAVEL TO, FROM AND DURING THIS ACTIVITY. 
 
I agree to indemnify and hold harmless Andrea Migliore and ALL affiliates against any and all claims, suits or actions of any kind whatsoever for liability, damages, compensation 
or otherwise brought by me or anyone on my behalf, including attorney's fees and any 
related costs, if litigation arises pursuant to any claims made by me or by anyone else 
acting on my behalf. If Andrea Migliore incurs any of these types of expenses, I agree to 
reimburse Andrea Migliore. 
 
I acknowledge that Andrea Migliore and her directors, officers, event partners, volunteers, 
representatives and agents are not responsible for errors, omissions, acts or failures to 
act of any party or entity conducting a specific event or activity on behalf of Andrea Migliore. 

 
I ACKNOWLEDGE THAT THIS ACTIVITY MAY INVOLVE A TEST OF A PERSON'S 
PHYSICAL AND MENTAL LIMITS AND MAY CARRY WITH IT THE POTENTIAL 
FOR DEATH, SERIOUS INJURY, AND PROPERTY LOSS. The risks may include, but 
are not limited to, those caused by terrain, facilities, temperature, weather, lack of 
hydration, condition of participants, equipment, vehicular traffic and actions of others, 
including but not limited to, participants, volunteers, spectators, coaches, event officials 
and event monitors, and/or producers of the event. 
 
I ACKNOWLEDGE THAT I HAVE CAREFULLY READ THIS "WAIVER AND 
RELEASE" AND FULLY UNDERSTAND THAT IT IS A RELEASE OF LIABILITY. I 
EXPRESSLY AGREE TO RELEASE AND DISCHARGE ANDREA MIGLIORE AND ALL OF 
HER AFFILIATES, MANAGERS, MEMBERS, PARTNERS, AGENTS, ATTORNEYS, 
STAFF, VOLUNTEERS, HEIRS, REPRESENTATIVES, PREDECESSORS, 
SUCCESSORS AND ASSIGNS, FROM ANY AND ALL CLAIMS OR CAUSES OF 
ACTION AND I AGREE TO VOLUNTARILY GIVE UP OR WAIVE ANY RIGHT THAT I 
OTHERWISE HAVE TO BRING A LEGAL ACTION AGAINST ANDREA MIGLIORE FOR 
PERSONAL INJURY OR PROPERTY DAMAGE. 
 
To the extent that statute or case law does not prohibit releases for negligence, this 
release is also for negligence on the part of Andrea Migliore, her agents, and employees.  
 
In the event that I should require medical care or treatment, I agree to be financially 
responsible for any costs incurred as a result of such treatment. I am aware and 
understand that I should carry my own health insurance. 
 
In the event that any damage to equipment or facilities occurs as a result of my or my 
family's willful actions, neglect or recklessness, I acknowledge and agree to be held 
liable for any and all costs associated with any actions of neglect or recklessness. 
 
By signing this agreement, I consent for Andrea Migliore to use my pictures and/or videos 
for advertising and marketing purposes. I understand that this content will be public and 
posted/shared on social media sites. 

This Agreement is entered into without duress or coercion, and is to be interpreted as an agreement between two parties of equal bargaining strength. Both the Participant and Andrea Migliore agree that this Agreement is clear and unambiguous as to its terms, and that no other evidence will be used or admitted to alter or explain the terms of this Agreement, but that it will be interpreted based on the language in accordance with the purposes for which it is entered into. 
 
In the event that any provision contained within this Release of Liability shall be 
deemed to be severable or invalid, or if any term, condition, phrase or portion of this 
agreement shall be determined to be unlawful or otherwise unenforceable, the 
remainder of this agreement shall remain in full force and effect, so long as the clause 
severed does not affect the intent of the parties. If a court should find that any provision 
of this agreement to be invalid or unenforceable, but that by limiting said provision it 
would become valid and enforceable, then said provision shall be deemed to be written, 
construed and enforced as so limited. 
 
Contraindications for Breathwork 
 
Like most types of therapy, Breathwork isn’t appropriate for everyone. It is also important 
to note that a contraindication for some types of Breathwork may not be one for another. 
For example, types of breathwork that use rapid breathing may be very risky for 
someone with certain health conditions, such as a high blood pressure, cardiovascular 
issues, a recent surgery, or osteoporosis. However, a type of Breathwork that utilizes a 
more gentle and relaxed form of breathing may be perfectly safe, and even beneficial. 
It’s recommended that you consult with your healthcare provider (including any mental 
health provider) and consult with the Breathwork practitioner before participating in any 
form of Breathwork. 
 
Following is a list of some of the most common contraindications for Breathwork: 

  • Cardiovascular problems 

  • High or abnormal blood pressure 

  • History of aneurisms 

  • Epilepsy or history of seizures 

  • Anyone on heavy medication 

  • Severe psychiatric symptoms, particularly psychosis or paranoia 

  • Bipolar Depression 

  • Osteoporosis 

  • Recent Surgery 

  • Glaucoma 

  • Pregnancy 

  • An active addiction 

  • Any person with mental illness who isn’t in treatment or lacks adequate support 
     

Breathwork can result in intense physical and emotional release. Therefore, it is not 
advised for persons with a history of cardiovascular disease, including angina or heart 
attack, high blood pressure, glaucoma, retinal detachment, osteoporosis, any specific 
recent physical injuries or surgeries. Breathwork is not advised for persons with severe 
mental illness or seizure disorders or for person’s using major medications. It is also 
unsuitable for anyone with a personal or family history of aneurysms. Pregnant women 
are advised against practicing breathwork without first consulting and getting approval 
from their primary care physician and the Breathwork facilitator before their first session.

Waiver Review and Signature

Today's Date
bottom of page