Chakra Breathing®
General Participation Waiver & Informed Consent
By participating in any Chakra Breathing® session, class, workshop, private session, or event (“Services”) offered by Alana Lee, I acknowledge and agree to the following:
1. Voluntary Participation
I understand that my participation is voluntary and that I am choosing to participate at my own discretion and risk.
2. Nature of the Services
I understand that Chakra Breathing® may include:
Conscious breathwork practices
Guided meditation and visualization
Somatic awareness and emotional processing
Chakra-based energetic practices
Movement, yoga, or gentle physical activity
Group discussion or sharing
I understand that these practices may involve physical movement, deep breathing, emotional release, or altered states of awareness.
3. Health & Medical Responsibility
I acknowledge that Chakra Breathing® is not medical, psychological, or psychiatric treatment and is not a substitute for professional healthcare.
I confirm that:
I am physically and mentally able to participate safely, OR
I am under the care of a licensed healthcare provider and have been cleared to participate.
I understand it is my responsibility to consult a physician if I have any concerns.
4. Contraindications
I understand that breathwork may not be appropriate for individuals with certain conditions, including but not limited to:
Pregnancy - do NOT do any breath holds while pregnant, rhythmic breathing and long slow breaths are safe
Cardiovascular disease or uncontrolled high blood pressure
History of aneurysm
Seizure disorders or epilepsy
Severe asthma or respiratory illness
Glaucoma or retinal detachment
Recent surgery or major injury
Severe PTSD without therapeutic support
Bipolar disorder, schizophrenia, psychosis, or other severe psychiatric conditions
Use of medications that significantly alter brain chemistry
Any condition that may be aggravated by deep breathing or emotional release
I affirm that I do not have any condition that would make participation unsafe, or I have taken appropriate medical guidance.
5. Personal Responsibility
I accept full responsibility for monitoring my physical, mental, and emotional well-being during and after participation.
I understand that I may pause, modify, or stop participation at any time.
6. Assumption of Risk & Release of Liability
To the fullest extent permitted by law, I release and hold harmless Alana Lee and Chakra Breathing® from any claims, liabilities, damages, or expenses arising from my participation in the Services.
This includes, but is not limited to:
Physical injury
Emotional distress
Psychological responses
Loss or damage of property
7. No Guarantees
I understand that individual experiences vary and no specific outcomes are promised or guaranteed.
8. Confidentiality (Group Sessions)
If participating in a group session, I agree to respect the privacy and confidentiality of other participants