BY SUBMITTING THIS FORM, I ACKNOWLEDGE THAT I HAVE READ AND UNDERSTAND THE FOLLOWING:

Check the box and sign below to indicate your agreement: I am fully responsible for my participation and experience in Inner Arts Institute Trainings and Workshops. I understand that this training /workshop may bring up issues of a highly personal nature that may cause me to experience emotional or physical responses that may be intense,unexpected and/or unpleasant. I also understand that I may experience mental, emotional, physical, or spiritual distress and that such distress may cause unpleasant feelings.

What is experienced in this workshop/training may create physical responses on my part or on the part of other participants. I understand that there is the risk of accident, injury, and emotional distress. I agree to assume this risk, including, but not limited to, the types of responses described.

I confirm that I do not suffer from any mental or physical impairment and have not been diagnosed at anypoint with a disorder, condition, or injury, either physical or mental, that might make it inadvisable for me to assume such risks.This workshop/training is designed as an educational opportunity solely. This training is not designed as a substitute for therapy or as a substitute for any other form of professional consultation.

By signing below, I willingly agree to the preceding statements and hold harmless from all liability, the facilitator, the IAI staff, the organizers, andall participants and observers attending this workshop/ training.

Breathwork, Family Constellations & Therapy | Boston MA