Retreat Logistics

This retreat is an opportunity to become alive to your medicine through deepening connection to yourself and to the larger body of community and nature.

Participating in Integrative Breathwork
I understand that Integrative Breathwork is a process intended to assist me in deep healing, self-exploration and self-actualization during this retreat. I also understand that my breathwork experience will reflect the direct experiences of my life and my emotional responses. It can also open non-ordinary states of consciousness. I understand that Riverbend Coaching makes no guarantees about the specific experiences that I may have when engaging in Integrative Breathing and that session experiences will vary among participants.

Integrative Breathwork is not intended to replace any treatment or therapy which may be appropriate for me. I take full responsibility for my physical, mental, and emotional well-being during the retreat, including my choices and decisions. I understand that anything personal information I share during this retreat will be held in confidence.

Integrative Breathwork may not be optimal for people with conditions such as glaucoma, detached retina, cardiovascular disease, uncontrolled high blood pressure, a history of aneurysms, epilepsy, a diagnosis of bipolar disorder or schizophrenia, osteoporosis, or recent surgery. It’s important for me to know if you are pregnant or have asthma. If any of these apply to you, please initial and describe relevant details below (e.g. date of surgery; current treatment, stage of pregnancy, etc). If none of these apply to you, please initial below.

Being Outdoors and General Waiver
I understand that I will be outdoors during much of the retreat, and I am voluntarily assuming any risks that come with being in nature, including but not limited to contact with insects, other animals, sun, and water. I take responsibility for caring for myself outdoors in accordance with my current level of health and physical fitness.

I hereby release, forever hold harmless and indemnify Riverbend Coaching, Julie Harris, their successors and assigns (collectively the “Riverbend Parties”) from any and all civil claims, demands, and/or causes of action as a result of my voluntary participation and enrollment in the services, including, but not limited to, property damage, personal injury, or the negligence of related individuals, now or at any time in the future.

COVID-19: Conditions and Waiver
I understand that COVID-19 is an airborne disease, and that precautions will be taken to ensure adequate spacing, ventilation, and air flow during group breathwork sessions.

I agree not to participate in the retreat if I have been closely exposed to someone with COVID-19 in the past 7 days, or if I am experiencing symptoms of COVID-19. I understand that if I can’t come to the retreat because of exposure to or symptoms of COVID-19, I am eligible to receive a $400 credit for any future work with Riverbend Coaching LLC. I understand that none of the other retreat-associated fees can be refunded, and I may wish to purchase travel insurance to cover other lost expenses such as lodging, food, and travel.

I acknowledge that even with reasonable precautions, I could be at risk for contracting COVID-19 by participating in Group Breathwork. With full knowledge of the risks involved, I hereby release, waive, discharge Riverbend Coaching from any and all liabilities, claims, demands, actions, and causes of action whatsoever, directly or indirectly arising out of or related to any loss, damage, injury, or death, that may be sustained by me related to COVID-19 while participating in Group Breathwork. I agree to indemnify, defend, and hold harmless Riverbend Coaching from and against any and all costs, expenses, damages, lawsuits, and or liabilities or claims arising whether directly or indirectly from or related to any and all claims made by or against any of the released party due to injury, loss, or death related to COVID-19.

By signing this agreement, I am acknowledging that I have read it in full, have been truthful about my medical conditions, and will abide by the COVID-19 policy of the retreat.

Provide your signature below.