If you are not the person who will be attending, please complete the form below with the participant’s details, and the terms and conditions must be accepted directly by the person attending the session.

IMPORTANT  PLEASE READ CAREFULLY

This Waiver and Release of Liability (the “Agreement”) is entered into by the undersigned (the “Participant”) in favour of Vital Balance Mindfulness Inc., including its owners, employees, facilitators, contractors, volunteers, representatives, affiliates, agents, successors, and assigns (collectively, the “Released Parties”).

1. Acknowledgement of Risk

I understand that participation in breathwork, meditation, and related wellness activities (the “Activities”) offered by Vital Balance Mindfulness Inc. — whether conducted online or in person — involves certain risks, including but not limited to physical exertion, emotional release, psychological discomfort, personal injury, or, in rare cases, serious medical complications.

I acknowledge these risks may result from my own actions or inactions, or those of others, including facilitators, staff, or other participants.

If participating online, I accept that I am responsible for creating a safe, private, and suitable space for myself. If attending in person, I agree to follow any safety guidelines, health protocols, or venue rules in place.

I choose to participate voluntarily and accept full responsibility for my own health, safety, and well-being during and after the Activities.

2. Health Declaration and Contraindications

I affirm that I have consulted with a qualified health professional, if needed, and that I do not have any condition that would prevent me from participating safely. I understand that breathwork may not be appropriate for everyone, and that contraindications can include but are not limited to:

Cardiovascular issues or heart conditions

Epilepsy or seizure disorders

High blood pressure

Glaucoma or retinal detachment

Osteoporosis

Severe mental health conditions (such as psychosis or bipolar disorder)

Recent surgeries or injuries

Pregnancy

Use of heavy medication

Untreated addiction or trauma

I accept full responsibility for my participation and confirm that I have disclosed any relevant conditions to Vital Balance Inc. if applicable.

3. Assumption of Responsibility

I freely accept and assume all risks, hazards, and potential outcomes associated with the Activities, including personal injury, illness (including exposure to communicable diseases such as COVID-19 if attending in person), emotional distress, or property loss or damage.

I understand that breathwork can cause strong physical and emotional responses. I agree that I am solely responsible for listening to my body, pausing if needed, and seeking medical or therapeutic support if required following the session.

4. Waiver and Release

I hereby release, discharge, and hold harmless Vital Balance Mindfulness Inc. and the Released Parties from any and all claims, demands, actions, or causes of action, known or unknown, arising out of my participation in the Activities. This includes, but is not limited to, liability for personal injury, illness, psychological distress, property loss, or death, whether caused by negligence or otherwise, to the fullest extent permitted by the laws of the Province of [Insert Province] and the laws of Canada.

5. Indemnification

I agree to indemnify and defend Vital Balance Mindfulness Inc. and the Released Parties against any costs, damages, legal fees, or claims arising from my participation in the Activities.

6. COVID-19 Acknowledgement (For In-Person Participation)

I understand that participating in person carries a risk of exposure to COVID-19 or other communicable diseases. I confirm that I will not attend in person if I am experiencing symptoms, have tested positive recently, or have been exposed to someone with a confirmed case within the last 5 days. I accept full responsibility for my own health and safety in these circumstances.

7. No Guarantee of Results / Refunds

I understand that breathwork results vary for each individual and that no specific outcome is guaranteed. I acknowledge that all payments are non-refundable, though individual situations may be reviewed at the sole discretion of Vital Balance Mindfulness Inc.

8. Governing Law and Severability

This Agreement shall be governed by and interpreted in accordance with the laws of the Province of [Insert Province] and the laws of Canada. If any provision is found to be invalid or unenforceable, the remaining provisions shall continue in full force and effect.

9. Acknowledgment of Understanding

I certify that I am at least 18 years of age and legally competent to sign this Agreement. I confirm I have read this document in its entirety, fully understand its content, and sign it freely and voluntarily, intending to be legally bound.