BreathWORTH™
Waiver of Liability and Informed Consent:

By signing up for this event electronically or otherwise, I certify that I am eighteen (18) years of age or older, and that I have no known medical or mental health condition that would affect my participation.  

I understand and acknowledge the following:

I am participating in a session that involves breathing techniques that are transpersonal in nature, coined as BreathWORTH™ by Sara Thornhill of Prana Tova. BreathWORTH™ breathwork promotes emotional, physical, and spiritual health, and may induce intense emotional, physical, or psychological experiences. Potential effects may include, but are not limited to: muscle contractions, sweating, biochemical shifts, nervous system changes, sensory overload, headaches, dizziness, fainting, crying, or emotional catharsis. I acknowledge that any effect is possible and that no guarantees are made regarding specific results or the duration or intensity of effects. Breathwork is contraindicated for individuals with certain physical and psychological conditions, as outlined above. Breathwork is not a substitute for therapy, counseling, medical treatment, or professional healthcare advice.

Assumption of Risk and Release of Liability: I freely and voluntarily assume all risks associated with participating in BreathWORTH™ breathwork. I RELEASE, WAIVE, INDEMNIFY, and HOLD HARMLESS Prana Tova, Sara Thornhill, and all facilitators, employees, representatives, agents, and volunteers (the “Released Parties”) from any and all liability for personal injury, emotional distress, illness, death, property loss, or damage arising from my participation, including any claims based on negligence. I understand that by signing, I am waiving all claims I may now or in the future have against the Released Parties.

Intellectual Property and Recordings: I understand that all content, exercises, materials, and methods shared during the session are proprietary to Prana Tova, and may not be copied, recorded, distributed, or reproduced without written permission. Unauthorized use (audio, video, otherwise) of any session is strictly prohibited and may result in legal action.

Emergency Treatment Authorization: I authorize emergency medical treatment if necessary during or after the session. I agree to be solely financially responsible for any resulting medical expenses.

Medical Acknowledgment: I acknowledge that I have consulted with a physician if necessary, and that my participation is voluntary.

I acknowledge that I have read, understood, and voluntarily agree to all of the terms and conditions outlined in this Intake and Waiver document. I understand that by signing, I am releasing legal rights.


Electronic Signature is hereby entered and accepted as I agree to the terms and conditions laid out herein, for this event and any others I participate in with Sara Thornhill, Prana Tova, and/or and of her companies.