By signing this form, you confirm that you are choosing to participate in this Breathwork Workshop of your own free will and understand that the techniques involved carry inherent physical and emotional risks.
Breathwork Workshop Waiver Form
The Breathwork Workshop Waiver Form is designed for wellness studio owners and instructors to collect participant acknowledgments regarding the unique physical and emotional experiences associated with breathwork sessions.
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Welcome & risk acknowledgement

Breathwork Workshop Waiver Form
You understand that guided breathwork sessions involve controlled hyperventilation which may trigger lightheadedness, tingling, fainting, or the release of intense emotional responses. You acknowledge that these risks are an essential component of the practice, and by moving forward, you voluntarily assume all responsibility for any physical injury, emotional distress, or other health-related outcomes that may occur during or after the session.
Participant details
Agreement & signature
Release of Liability
In exchange for being permitted to attend this workshop, you hereby release and forever discharge the workshop facilitators and the studio from any and all liability, claims, or demands arising out of your participation. This release extends to any personal injury, loss, or damage resulting from the workshop's ordinary negligence. You agree not to sue or pursue legal action against the organizers for any complications related to the breathwork practices undertaken here.
I confirm that I have read this document in its entirety, I fully understand its terms, and I am signing it freely and voluntarily as a legally competent adult.
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About this template
The Breathwork Workshop Waiver Form is a digital template designed for wellness studios to standardize participant information before a session. It allows you to customize the document with your studio branding and specific business requirements. Once configured, you can share the form via email, embed it on your website, or have clients sign directly on a tablet or phone at the front desk.
| Field Category | Purpose for Wellness Studios |
|---|---|
| Participant Information | Captures contact details and emergency contact data for your internal records. |
| Session Acknowledgment | Helps participants confirm they understand the physical demands of breathwork exercises. |
| Health History | Tracks individual conditions or specific needs relevant to planned wellness activities. |
| Electronic Signature | Provides a time-stamped record of participant agreement before the session begins. |
Wellness centers, yoga studios, and spas use this form to maintain consistent safety records during higher-intensity breathwork sessions. Staff use these forms to quickly identify participant risks associated with hyperventilation or physical fatigue, ensuring everyone is informed before beginning the activity. By digitizing this capture process, you simplify the intake workflow and ensure that vital participant data is saved securely in your dashboard.
Questions about this waiver
- What specific health-related information should I include in my Breathwork Workshop Waiver Form?
- You should include fields that ask participants to disclose pre-existing conditions such as respiratory issues, heart conditions, or pregnancy. This allows instructors to be aware of any necessary modifications or contraindications before the session begins.
- How can I document the possibility of lightheadedness or emotional release in this form?
- Use the editor to add a section detailing the common physiological reactions to breathwork, such as tingling, dizziness, or emotional shifts. Including this as an acknowledgment section ensures participants are mentally prepared for the intensity of the workshop.
- Can I gather emergency contact details directly within the waiver flow?
- Yes, you can add custom input fields to request emergency contact names and phone numbers. This information is stored securely alongside the participant's submitted form for quick reference during a workshop.
- Is there a way to let clients sign the waiver on their own devices before they arrive?
- You can generate a shareable link to the waiver and send it to participants via email or text before the workshop starts. This saves time at the studio, as clients arrive having already completed their paperwork on their own phones.
- How do I ensure that a participant's signature is linked to a specific date for my breathwork sessions?
- The software automatically timestamps every submission and associates it with the specific form version used. You can view, filter, and organize these records by date in your dashboard to track attendance for each of your events.
This template is framed for US and provided as a software tool, not legal advice. Waiver enforceability varies by jurisdiction and circumstance — confirm the final wording with your own counsel before relying on it.