EUPHORA WELLNESS
Breath & Cold Participant Waiver & Release of Liability. Media Release.
Read Carefully, this is a legal document that affects your rights.
Participants Name:
Phone Number:
Email Address:
Emergency Contact Name:
Emergency Contact Phone Number:
By signing this document, I, the undersigned participant, acknowledge, understand and agree to the following:
Assumption of Risk
1. I voluntarily elect to participate in this Euphora Wellness event, which includes but is not limited to breathwork practices, cold exposure via cold plunges, and various movement based activities. These activities may involve both physical and emotional challenges.
2. I understand that breathwork can potentially cause lightheadedness, dizziness, hyperventilation, or other physical or emotional responses. Cold plunge exposure may result in an increased heart rate, shivering, numbness, discomfort, and other physiological responses. Movement based activities may carry the risk of injury, including but not limited to, strains, sprains, or other physical injuries.
3. I am fully aware of the inherent risks involved in these activities and assume full responsibility for any risk of physical or emotional harm or injury while participating.
Physical Health
4. I acknowledge that I am physically, emotionally and mentally fit to participate in Euphora Wellness activities. If I have any medical condition (including but not limited to heart conditions, breathing difficulties, cold sensitivity or other health issues), I confirm that I have consulted with a healthcare professional before participating.
5. I agree to inform the instructor of any pre-existing medical conditions or concerns that may affect my ability to participate safely. I understand that failure to disclose this information may result in injury or harm, for which I take full responsibility.
Release of Liability
6. In consideration of my participation, I hereby release, waive, discharge and covenant not to sue Euphora Wellness, its instructors, affiliates and all related entities, from any liability, claims, demands, actions, or causes of action arising out of or related to any loss, damage, injury, or death that may result from my participation, whether caused by negligence or otherwise.
7. I understand that this waiver is binding upon myself, my heirs, personal representatives, and assigns.
Indemnity
8. I agree to indemnify and hold harmless Euphora Wellness, its instructors, and affiliates from any claim, liability, cost, or expense arising from my participation in the Euphora Wellness activities.
Consent to Emergency Medical Treatment
9. I consent to receive necessary emergency medical treatment in the event of an injury or illness during participation in these activities.
Acknowledgement & Signature
By signing below, I acknowledge that I have read, understood and agreed to the terms of this Waiver & Releases of Liability and Media/Photo Release. I am aware that this is a legal document and that I am voluntarily waiving certain legal rights.
Participants Signature:
Date: