Breathwork Waiver Form Template
A free breathwork waiver for breathwork facilitators, sound bath hosts and meditation teachers. Guests share health notes and sign before the session.
Customize the pages and design to fit your needs.
About this template
A breathwork and sound bath waiver with a short health check, then sample terms for risks, stopping at any time and release of liability. Guests sign on their phone and you keep a signed PDF.
Common uses
- Breathwork facilitators
- Sound bath and sound healing hosts
- Meditation teachers and studios
Key features
- Short health check
- Breathwork and sound bath terms
- Signed waiver as a PDF
What this template asks
What's your full name?
Short Text
What's your email address?
Email
What's your phone number?
Phone
Which session are you joining?
Single Choice · Breathwork, Sound bath, Breathwork and sound bath, Meditation class
Have you done breathwork before?
Yes / No
Do any of these apply to you?
Multiple Choice · Optional · Pregnant, Heart condition, High blood pressure, Epilepsy or seizures, Asthma, Recent surgery, None of these
Is there anything else your facilitator should know?
Long Text · Optional
Who's your emergency contact?
Short Text
Breathwork and sound session waiver
Agreement text, accepted with “I agree”
Sign the waiver
Signature
How to use this template
Copy it
Select Use template and a copy opens in your workspace as an unpublished draft.
Make it yours
Edit any question or answer, choose a theme, and add your logo.
Share it
Publish, then send the link, show a QR code, or embed the form on your site. Responses arrive in Submissions.
Breathwork and sound session waiver
Signers read this text in the form before they accept it. Edit the bracketed details to match your business, and have the wording reviewed for your situation.
Please read this before you sign.
This agreement is between [Business name] (the "Facilitator") and the participant named in this form.
- What to expect. Breathwork can bring tingling, lightheadedness, strong emotions or changes in body temperature. Sound baths use loud and soft tones close to the body.
- Not medical care. Sessions are for relaxation and wellbeing. They do not replace care from a doctor or licensed professional.
- Health. The participant has shared any health details that matter and has asked a doctor first if they are pregnant or have a heart, lung or seizure condition.
- Your pace. The participant may slow down, return to normal breathing or stop at any time, and will tell the Facilitator if they feel unwell.
- Release. The participant accepts the risks of the session and releases the Facilitator and the venue from claims for injury that happen during it, except where caused by gross negligence.
- Cancellations. Sessions cancelled less than [number] hours before the start time cost [fee].
By signing below, I confirm that I have read this waiver and agree to it.
Frequently asked questions
Why do breathwork sessions need a waiver?
Breathwork can cause lightheadedness and strong emotions, and it isn't right for everyone. A short health check and signed waiver help you know who is in the room.
Does it work for sound baths too?
Yes. Guests choose breathwork, sound bath or both, and the terms cover each one. Edit the text to fit your sessions.
How do guests sign at a studio or event?
Share the link when they book, or show a QR code at the door so walk ins sign on their phone before the session starts.