Release Contract

PARTICIPANT CONTRACT

RELEASE, WAIVER, AND INDEMNITY OF LIABILITY AGREEMENT

This Participant Contract and Release, Waiver and Indemnity of Liability Agreement (hereinafter “Agreement”) is entered into by “Participant” and Thao Le (“Organizer”). In consideration of being admitted to the Program and permitted to participate in the activities and Neurodynamic Breathwork ("NDB"), the Parties hereby agree as follows:

1. Participant has reviewed the contraindications and certifies that he / she does not have any medical or physical conditions which would impair or affect his / her ability to engage in any activities or which would cause any risk of harm to Participant or otherwise endanger Participant’s health while attending a breathwork session. Organizer will assume that Participant’s physical, emotional, and mental health are stable to participate in a breathwork session until Participant notifies Organizer. 

2. Participant is aware that certain activities he / she may engage in during the session are physically, emotionally and / or mentally stressful.  Among other processes, it will include breathing that is faster and deeper than normal over a prolonged period which can cause dizziness, palpitations, tingling / numbness of the extremities, carpopedal spasms [involuntary contractions of the muscles of the hands and feet], tetany, ringing / roaring in the ears, clouded / distorted vision, perceptual distortions, and feelings of lightness, astonishment and / or euphoria. Physical Activities can also include violent twisting and turning while prostrate and other exertions not normally engaged in by Participant. Loud music is also used with the described activities.  

3. Participant agrees to assume full responsibility for his / her own physical, emotional and mental health and hold harmless Organizer, from any physical, emotional and / or mental damage that may be attributed to the Program or any participation therein. Participant further holds harmless organizer from any and all loss, liability, injury, damage or cost which may arise out of or in connection with participation in the breathwork session.

4. Participant understands that this Neurodynamic Breathwork Event is intended as a personal growth experience and should not be used as a substitute for psychotherapy.

5. Participant understands that since his / her experience will be guided by his / her own psyche / inner healer; despite any representations made by Organizer, Organizer cannot guarantee any specific type of experience, result or benefit from participating in the session.

6. Participant understands that he / she may not record – audio or video – any portion of these sessions or any persons participating therein. Still photographs will not be taken of any person except with the advance consent of the person being photographed. 

7. This Agreement is made and entered into under the laws of the State of California and the United States and shall be interpreted, governed and enforced under and pursuant to these laws.

8. Participant agrees that should an action be brought against Organizer for any reason whether to enforce the terms of this agreement or on some other basis, that all disputes between Participant and Organizer will be litigated in Santa Clara County, California and Participant waives any rights he / she may have in litigating in any other jurisdiction.

9. Participant agrees that this Agreement, all of the releases, and terms and conditions contained herein, shall apply with equal force and govern any future Neurodynamic Breathwork Programs in which participant partakes with Organizer. Thus, obviating the need to acknowledge this Agreement each and every time he / she partakes in any Neurodynamic Breathwork activities or events. Participant further agrees to bring any changes in his / her medical condition to Organizer’s attention before participating in any Neurodynamic Breathwork event.

10. If Participant is under 18 years of age, Participant must have one of his / her parents or guardians present at the Program.

11. Participant waives, releases and discharges any and all claims, rights and / or causes of action which may arise out of or in connection with participation in the Program. Therefore, under no circumstance will Participant prosecute or present any claim for personal injury, property damage, or any other cause of action against Organizer and / or participating Neurodynamic Breathwork Facilitators and Apprentices. 

12. This agreement is binding on Participant’s heirs, assignees, dependents, personal representatives and estate.

13. Should Organizer and / or any participating Neurodynamic Facilitator or Apprentice be successful in defending itself from a suit brought by Participant, Organizer and / or any participating Facilitator and / or Apprentice shall recover all costs and expenses incurred in such action, including reasonable attorneys’ fees.

I have read this agreement and understand it contains release of all claims language for injuries and damages. I voluntarily accept the terms and conditions of this agreement.