I consent to participation in a deep meditation experience of breathwork with Aliya Daniels of Move & Mindful Corp. I acknowledge that this experience may bring to the surface memories, sensations and strong emotions. I am fully responsible for myself and my well-being and understand that it is my responsibility to communicate any questions or concerns to Aliya. My experience will be held in confidential boundaries unless my safety is a concern.
I agree to notify Aliya of any major physical or mental health concerns (including epilepsy or prone to seizure, recent injuries or surgeries, any prescription medications). This information does not prevent you from participating, it is simply for Aliya to be able to support you best.
I release Aliya Daniels and Move & Mindful Corp. from claims, demands, damages, actions or causes of action arising out of or in consequence of any loss, injury or damage to any person or property arising directly or indirectly from my participation in a breathwork circle.