# 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.

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.

Canonical: https://reuily.com/templates/breathwork-waiver-form
Use this template: https://reuily.com/form/from-template/breathwork-waiver-form
Collections: Agreements & Waivers, Beauty & Wellness, Holistic Wellness
Last updated: 2026-10-24

## Questions

- Question 1: What's your full name? (Short Text, required)
- Question 2: What's your email address? (Email, required)
- Question 3: What's your phone number? (Phone, required)
- Question 4: Which session are you joining? (Single Choice, required). Options: Breathwork; Sound bath; Breathwork and sound bath; Meditation class
- Question 5: Have you done breathwork before? (Yes / No, required)
- Question 6: Do any of these apply to you? (Multiple Choice, optional). Options: Pregnant; Heart condition; High blood pressure; Epilepsy or seizures; Asthma; Recent surgery; None of these
- Question 7: Is there anything else your facilitator should know? (Long Text, optional)
- Question 8: Who's your emergency contact? (Short Text, required)
- Agreement: Breathwork and sound session waiver, accepted with "I agree" (full text below)
- Question 9: Sign the waiver (Signature, required)

Signing records the signer's consent, email, IP address, browser and signing time, and each signer can download a signed PDF copy.

## Breathwork and sound session waiver

Please read this before you sign.

This agreement is between **[Business name]** (the "Facilitator") and the participant named in this form.

1. **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.
2. **Not medical care.** Sessions are for relaxation and wellbeing. They do not replace care from a doctor or licensed professional.
3. **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.
4. **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.
5. **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.
6. **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.

## 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

## 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.