Before traveling to Sangre de Cristo mountains in Colorado, where the retreat will take place, please read the following:
The Buteyko retreat intends to educate participants about Dr. Buteyko’s work regarding breathing and health improvement and its implementation through breathing exercises and lifestyle modifications. The program may include but is not limited to the following activities: breathing exercises, yoga, chi gong, meditation, chanting, walking, jogging, hiking, sound bath, and soaking in hot springs.
If any breathing exercises or other activities practiced during this retreat cause discomfort or health concerns, please cease them immediately and contact a staff member.
Please be aware that this retreat will take place at high altitudes and be prepared accordingly.
Never hesitate to ask your personal physician for advice concerning your involvement with this event, its location, the Buteyko breathing exercises, and lifestyle practices. The supervision and consent of your doctor will ensure safe and effective participation in this retreat. In addition, you should never stop taking your medications, decrease or increase their dosage without consulting your physician.
To create and maintain a welcoming environment, no participants are allowed to disclose confidential information regarding other members, including but not limited to name, circumstances, practice details, and any additional personal information shared during the event.
Should you choose to be a participant of this retreat, you are personally taking responsibility for your health and abilities to participate in this event. The Buteyko Breathing Center, Sasha Yakovleva, retreat staff, and the retreat Center assume no responsibility.
If you read, understood, and agree with all the statements above, read the information below and sign this disclaimer:
I, the undersigned participant, understand that this retreat is not a form of therapy for illness, whether medical, emotional, or physical. I take full responsibility for all my actions and also waive, release, and hold harmless Sasha Yakovleva and Buteyko Breathing Center, as well as the retreat teachers and leaders, staff, and retreat site owner from and against any costs, fees, expenses, liabilities or claims, whether medical or legal, arising from any conduct or activity of the retreat or its effects, including but not limited to injury, death, theft, or other liability, regardless of any act or omission from the abovementioned.
As a material part of the consideration to attend this retreat, I hereby assume all risks of injury to my person or damage to my property arising from any cause related to or arising from the retreat (including traveling to and from the retreat), whether known or unknown, whether expected or unexpected. I further waive and release all claims I may have against Sasha Yakovleva and Buteyko Breathing Center.
I hereby further agree that this General and Medical Waiver of Liability and Hold Harmless Agreement in the form of this Disclaimer shall be construed and enforced in accordance with the laws of the state of Colorado.
I CERTIFY THAT I HAVE READ THIS DOCUMENT AND I FULLY UNDERSTAND ITS CONTENT. I AM AWARE THAT THIS IS A RELEASE OF LIABILITY, AND I SIGN IT OF MY OWN FREE WILL.
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Participant’s Signature
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Participant’s Name (Please print legibly)
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Date
