How to Prepare for Our Session:

PLEASE COMPLETE THE

WAIVER AND LIABILITY RELEASE FORM BELOW PRIOR TO THE SESSION IN ORDER TO PARTICIPATE.

Preparing your body: Please do not eat a big meal up to 1.5 hours before our session. If you need a small snack, choose something easy to digest in that time frame. Hydrate the day of, but do not drink a ton of water right before. This is to prevent that "full" feeling and to allow your diaphragm to move more easily. 

VIRTUAL SESSIONS

Choose a Quiet Space: Select a quiet and peaceful area where you won't be disturbed during your breathwork session. Ideally, this space should be free from distractions and have enough room for you to lay down comfortably.

Prepare Your Device: Ensure that your computer, tablet, or phone is fully charged or plugged in to avoid interruptions during the session. Set the device to "Do Not Disturb" mode or turn off notifications to minimize distractions.

Positioning the Device: If using a computer or tablet, position it within easy reach but out of the way to prevent it from becoming a distraction. You may place it on a nearby table or stand where you can see the screen without straining your neck.

Virtual & In-Person

What to wear/ bring:

- Wear comfy clothing, preferably without a tight waistband so you can breathe with ease.

-A blanket to wrap around you or a sweatshirt (some people get cold practicing breathwork.) This is optional.

YOU MUST COMPLETE THE PARTICIPATION WAIVER & LIABILITY RELEASE FORM BELOW

*DISREGARD IF YOU HAVE ALREADY COMPLETED FOR A PRIVATE SESSION OR ALREADY COMPLETED FOR A CLASS

Please read and check the boxes below to indicate your agreement:

Participation Waiver & Liability Release Terms and Conditions – Breathwork Sessions

AGREEMENT

This agreement is between Consciously Kriyating, LLC, the trained facilitator as referred to as the “Coach”, and the undersigned referred to as the “Client.”

Overview: Breathwork is a system of guided actions that may lead to intense physical and emotional release. The Breathwork sessions facilitated by the Coach offers a transformative process combining breath, tempo, and music. These sessions provide simple, safe, and highly effective methods for achieving breakthroughs and promoting optimal wellness. Unlike conventional meditation and mindfulness practices, sessions with the coach offer a unique and deeply experiential approach. It's important to note that this work may involve significant physical, energetic, and emotional release. Therefore, individuals with certain contraindications are advised to consult their healthcare provider before participating, although Breathwork is generally suitable for everyone.

Important Contraindications: Individuals with a history of Cardiovascular Disease (including Angina or Heart Attack), High Blood Pressure, Glaucoma, Retinal Detachment, Osteoporosis, significant recent physical injuries and/or surgery, severe Mental Illness (including Bipolar Disorder or Psychosis), Seizure Disorders, or those using major medications, as well as individuals under the influence of legal or illegal drugs impairing their capacity, should consult a healthcare provider before participating. Additionally, individuals with a personal or family history of Aneurysms and pregnant women are advised to consult their primary care physician before engaging in Breathwork with the Coach. Those with Asthma should bring their inhaler and consult with their primary care physician. It's important to emphasize that Breathwork with Christina Karkouta is not a substitute for therapy and does not replace psychotherapy. This information is accurate to the best of the Coach’s knowledge and is not intended to replace personalized advice from qualified medical or therapeutic professionals. The Coach does not provide professional legal, medical, psychological, or financial advice.

Breathwork, somatic, meditation, and any other form of alternative healing should not be construed as a substitute for direct medical advice from a doctor or other qualified clinician, medical or psychiatric examination, diagnosis, or treatment. Anyone interested in Breathwork is also responsible for seeking the specific medical or psychiatric attention they need, should they need it. It is advised that you discuss with your medical provider before engaging in breathwork. If this applies to you, you may still participate in the journey, but will use a passive breath OR participate at your own risk. Symptoms you may experience during breathwork include, but are not limited to:

• Light-headedness

• Tingling sensations

• Emotional release (e.g., crying, laughter)

• Changes in body temperature (feeling hot or cold)

• Increased heart rate

• Increased depth of breathing

• Muscle tension or relaxation

Warranty and Certification: By participating in the activity, the participant certifies that they are physically, emotionally, and medically capable of doing so. The participant assumes all risks associated with the activity and acknowledges that participation is voluntary and entirely at their own risk. The participant is aware of the risks associated with traveling to and from as well as participating in this activity, including but not limited to physical or psychological injury, pain, suffering, illness, disfigurement, temporary or permanent disability (including paralysis), economic or emotional loss, and death. The participant understands that these injuries or outcomes may arise from their own or others' negligence, conditions related to travel, or the condition of the activity location(s). Nonetheless, the participant assumes all related risks, both known and unknown, due to their participation in this activity.

Additionally, please be aware that photos may be taken during sessions for promotional purposes.

Payment Agreement: By signing this waiver and liability release form, I acknowledge and agree that all payments made toward individual sessions or programs with Coach are non-refundable. Once payment is received, no refunds will be provided for any reason, including but not limited to cancellation, withdrawal, or non-attendance. I understand that the Coach has incurred costs and made commitments based on my registration, and as such, no refunds will be issued regardless of circumstances.

Waiver & Release: I, the undersigned participant, hereby acknowledge that I am voluntarily participating in a Breathwork session facilitated by the trained Coach. I understand that the Breathwork session may involve deep and intentional breathing exercises, and I am aware that such activities may carry inherent risks.

I acknowledge and understand the following:

1. Voluntary Participation: My participation in this Breathwork session is entirely voluntary, and I have chosen to participate of my own free will. I take full responsibility for my own health and well-being during the Breathwork sessions. I agree to follow the instructions and guidance provided by the Coach during the Breathwork sessions to the best of my abilities. I understand that I have the right to modify or discontinue any technique or exercise at any time.

2. Health and Medical Conditions: I affirm that I am in good health and do not have any medical or psychological conditions listed above that would make participation in the Breathwork session inadvisable. I have consulted with a medical professional if I have any concerns about my ability to participate in Breathwork.

3. Assumption of Risks: I acknowledge that there are inherent risks associated with the practice of Breathwork, including but not limited to changes in emotional state, physical sensations, and altered states of consciousness. I am voluntarily assuming all risks associated with the Breathwork session.

4. Release of Liability: As the client, and in consideration for my participation in breathwork sessions. I agree that my participation is entirely voluntary and that I assume any risk associated with participation. Any actions or lack of actions, taken by me, the client, of such advice is done so solely by choice and responsibility, and any harm, injury, or loss that may occur to me or my property as a result of my participation of breathwork session(s) with Consciously Kriyating LLC, is neither the responsibility nor liability of trained Coach. My signature below acknowledges that trained Coach is an independent contractor of Consciously Kriyating has no control over and assumes no responsibility for the acts or omissions of trained Coach.I understand that I may be photographed or videotaped for quality training purposes. We promise to take utmost care of any footage of you and will pledge that this footage will only be used for internal training purposes and not distributed in any way, within the boundaries of the law that applies to this agreement. If for whatever reason we wish to use footage outside of training purposes, we will inform you and get your permission first. By signing this agreement, you agree to these terms. I understand that breathwork is not a substitute for counseling, psychotherapy, psychoanalysis, mental health care or substance abuse treatment, and I will not use it in place of any form of therapy. I recognize that breathwork requires emotional, physical, and mental effort, exertion, and behavioral experimentation, on my part, which may cause physical, mental or emotional injury. I fully acknowledge and take full responsibility for all the risks involved. I understand that it is my responsibility to consult with my health care provider prior to participating. In the event that I am injured, I agree to assume any financial obligation, either through my personal health insurance, or through some other means, for any medical costs I incur.  Coach assume no responsibility for any medical expenses, injury, or damage suffered by me in connection with the use of any facilities or services. IN CONSIDERATION OF MY PARTICIPATION, I HEREBY GENERALLY RELEASE, AND PROMISE TO INDEMNIFY, DEFEND, AND HOLD HARMLESS the Coach, AND THEIR RESPECTIVE AGENTS AND EMPLOYEES (THE “RELEASE PARTIES”), FROM ANY LIABILITY WHATSOEVER. I will reimburse the Coach for any damages, reasonable settlements and defense costs, including attorney’s fees, that they incur because of any such claims made against them. I agree that the terms of this agreement, including the indemnification obligations in this paragraph, will be binding on my estate, and my personal representative, executor, administrator or guardian will be obligated to respect and enforce them. This RELEASE does not extend to claims for gross negligence, intentional or reckless misconduct, or any other liabilities that applicable law does not permit to be excluded by agreement. I agree that the purpose of this agreement is that it shall be an enforceable RELEASE OF LIABILITY AND INDEMNITY as broad and inclusive as is permitted by New York law. I agree that if any portion or provision of this agreement is found to be invalid or unenforceable, then the remainder will continue in full force and effect. I also agree that any invalid provision will be modified or partially enforced to the maximum extent permitted by law to carry out the purpose of the agreement. I understand that this is a contract that affects my legal rights, and I have read and understood this form and all its contents, and I voluntarily agree to the terms and conditions stated above.

1. Acknowledgment of Services
   I understand that the breathwork sessions provided by Consciously Kriyating LLC, operated by Christina Karkouta, are for educational purposes only and are not a substitute for medical care or therapy. I acknowledge that Christina Karkouta is not a healthcare provider.

2. Assumption of Risk
   I voluntarily participate in these sessions and assume full responsibility for any risks or injuries that may occur. I confirm that I have no medical condition preventing safe participation and have consulted a healthcare professional if needed.

3. Personal Responsibility
   I agree to inform the facilitator of any physical, mental, or emotional issues affecting my ability to participate. I understand that guidance is for general well-being, and I am responsible for listening to my body and participating within my limits.

4. Release of Liability
   I release Consciously Kriyating LLC and its associates from any liability for injuries, claims, or damages resulting from my participation. I understand that all sessions are confidential, and personal information shared will not be disclosed without my consent.

5. Cancellation Policy
   I have read and understand the cancellation policy provided on the payments page and agree to its terms.