BILLY BREATHWORK

PARTICIPANT WAIVER, INFORMED CONSENT, HEALTH ACKNOWLEDGMENT, ASSUMPTION OF RISK & RELEASE OF LIABILITY

Billy Breathwork and Coach Billy Runyan prioritize the safety and well-being of all participants. As part of our commitment to providing a safe and supportive environment, all participants are required to review and complete this agreement before participating in any breathwork session, journey, class, event, workshop, coaching session, or related activity.

IMPORTANT HEALTH AND SAFETY INFORMATION

Breathwork can involve conscious changes in breathing patterns, including periods of deep, rapid, rhythmic, or intensified breathing and, in some sessions, voluntary breath retention. These practices may result in strong physical, emotional, mental, or energetic sensations and experiences.

A breathwork session may not be suitable for you if you have, currently experience, or have a history of any of the following:

  • Cardiovascular problems

  • Abnormally high or low blood pressure

  • Aneurysms

  • Epilepsy or a history of seizures

  • Use of heavy medications or medications that may affect physical, mental, psychological, or emotional stability

  • Severe psychiatric symptoms, particularly psychosis or paranoia

  • Bipolar disorder

  • Osteoporosis

  • Recent surgery, injury, or childbirth

  • Glaucoma or detached retina

  • Pregnancy

  • Thyroid conditions

  • Diabetes

  • Asthma

  • Chronic obstructive pulmonary disease (COPD)

  • History of fainting or vasovagal episodes

  • Severe post-traumatic stress or unresolved trauma that may make an activating breathwork experience unsafe

  • Any other physical, psychological, psychiatric, or emotional condition that may affect your ability to safely participate

People with asthma should bring their own inhaler and consult with their physician and breathwork coach before participating.

Anyone currently experiencing an emotional, psychological, psychiatric, or spiritual crisis, or any person with a mental illness who is not receiving appropriate treatment or does not have adequate professional or personal support, should consult an appropriate licensed healthcare professional before participating.

This list is not exhaustive. If you have any question or concern about a condition, diagnosis, medication, symptom, recent procedure, or other circumstance that is not specifically listed above, you should consult a physician or other appropriately licensed healthcare professional before participating in a breathwork session.

PARTICIPANT HEALTH REPRESENTATION

I warrant and represent that, to the best of my knowledge, I am in sufficiently good physical, mental, psychological, and emotional health to participate in breathwork activities.

I understand that if I am not in appropriate health to safely participate, I should not participate in the breathwork session or activity unless I have first consulted with and received appropriate guidance or clearance from a qualified healthcare professional.

I understand and agree that my declaration and certification that I am in appropriate health in the respects described above is a material condition of my participation in any breathwork session, journey, class, workshop, event, coaching session, or related activity facilitated by Coach Billy Runyan or Billy Breathwork.

I agree that it is my responsibility to disclose any known condition, medication, limitation, or concern that may affect my ability to safely participate.

INFORMED CONSENT

I understand that breathwork may create physical, emotional, psychological, and mental responses. These may include, but are not limited to, tingling, numbness, muscle tension, temporary cramping, changes in body temperature, lightheadedness, dizziness, emotional release, crying, laughing, feelings of intensity, memories, altered perception, or other unexpected physical or emotional experiences.

I understand that individual responses to breathwork vary and that no specific result, outcome, healing experience, emotional release, or transformation is guaranteed.

I understand that my participation is entirely voluntary.

I understand that I remain in control of my breathing at all times. I may slow my breathing, return to normal breathing, modify the technique, skip a breath hold, exhale during a hold if necessary, take a normal breath, rest, or discontinue participation at any time.

I understand that I should immediately stop or modify the activity if I experience pain, severe dizziness, faintness, unusual shortness of breath, chest discomfort, overwhelming emotional distress, or any other symptom that causes me concern.

NOT MEDICAL OR MENTAL HEALTH TREATMENT

I know and acknowledge that Coach Billy Runyan, doing business as Billy Breathwork, is not acting as my doctor, physician, psychiatrist, psychologist, licensed mental health professional, or other licensed healthcare provider.

I understand that breathwork, coaching, sound, meditation, visualization, relaxation practices, and related activities offered by Coach Billy Runyan or Billy Breathwork are not intended to diagnose, treat, cure, or prevent any specific medical, physical, psychiatric, psychological, or emotional condition.

I understand that participation in breathwork is not a replacement for medical care, psychotherapy, psychiatric care, medication, emergency care, or treatment from an appropriately licensed healthcare professional.

I agree to seek appropriate professional medical or mental health care when necessary.

VOLUNTARY PARTICIPATION & ASSUMPTION OF RISK

I voluntarily choose to participate in breathwork and related activities with full knowledge that these activities may involve risks and consequences, whether known or unknown, anticipated or unanticipated.

I understand that even when reasonable safety precautions are followed, physical, emotional, psychological, or other reactions may occur.

I knowingly and voluntarily assume the risks, responsibilities, and consequences associated with my participation, to the fullest extent permitted by applicable law.

RELEASE OF LIABILITY

In consideration for being permitted to participate in breathwork sessions, journeys, classes, workshops, events, coaching sessions, or related activities, I voluntarily release and agree to hold harmless Coach Billy Runyan and Billy Breathwork, including, as applicable, their owners, representatives, contractors, assistants, facilitators, agents, affiliates, successors, and assigns, from responsibilities, claims, demands, liabilities, costs, losses, expenses, and damages arising from or related to my participation in the above-mentioned activities, to the fullest extent permitted by applicable law.

I understand that this release includes risks and consequences that may be known or unknown at the time I participate.

I understand that I am accepting responsibility for my voluntary participation and for my own physical, mental, psychological, and emotional well-being before, during, and after the session.

Nothing in this agreement is intended to release any person or entity from liability that cannot legally be waived under applicable law.

MEDICAL AND FINANCIAL RESPONSIBILITY

I understand that if I require medical evaluation, treatment, transportation, emergency services, therapy, counseling, medication, or other professional assistance as a result of or following my participation, I am personally responsible for the associated expenses.

I agree to accept financial responsibility for costs related to such treatment or services.

PARTICIPANT RESPONSIBILITIES

I agree that I will not participate while under the influence of alcohol, recreational drugs, or any substance that could impair my ability to participate safely.

I agree not to intentionally withhold information about a known medical, physical, psychiatric, psychological, or emotional condition that could affect my ability to safely participate.

I understand that I should not participate on a full stomach and that I am responsible for following reasonable preparation and safety instructions provided by Coach Billy Runyan or Billy Breathwork.

I understand that I may ask questions before beginning and that I am responsible for communicating if I need assistance, modification, or a break during a session.

REQUIRED PARTICIPANT ACKNOWLEDGMENTS

Each box below must be checked before submitting this agreement.

ELECTRONIC SIGNATURE & CONSENT

By typing my full legal name below and submitting this form electronically, I acknowledge that I have read and understand this entire agreement and have affirmatively checked each required acknowledgment above.

I intend my typed full legal name and electronic submission to constitute my electronic signature and my agreement to be bound by the terms of this Participant Waiver, Informed Consent, Health Acknowledgment, Assumption of Risk & Release of Liability.

I acknowledge that I have read the warnings contained in this agreement and choose to proceed voluntarily and with responsibility for my participation.