Name *

First Name

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Release of liability *

Give permission to STEFANIE HELENE to perform the role of my Facilitator in Breathing sessions. I understand that if I have medical concerns it remains my responsibility to consult a medical professional and inform the Facilitator. I understand that my Facilitator makes no claim to benefit any specific condition and gives no guarantee as to outcome. I, intending to be legally bound, hereby agree and release from liability and indemnify and hold harmless, The Transformational Breath Foundation (TBF), the Facilitator, and any employees or agents representing, or related to, TBF and/or its activities. I agree to accept financial responsibility for any costs or damages which might arise from participation in Transformational Breath® activities.

I agree to the above & Terms of Business