Participation Agreement & Informed Consent
I am participating in breathwork and/or spinal energetics sessions facilitated by Camilla Drema, Elena Capurro and Sara - The Spiritual Realist (the “Facilitators”). By signing this agreement, I confirm that I have read, understood, and voluntarily agree to the following terms.
1. Personal Responsibility & Readiness
I recognise that I must be in adequate physical and mental health to participate in breathwork and/or spinal energetics sessions. I understand that these practices may involve physical exertion, nervous system activation, conscious connected breathing, subtle or spontaneous movement, and emotional or energetic release.
I confirm that, to the best of my knowledge, I am physically and mentally able to participate and that I do not have any condition that would prevent my safe participation. I understand that the Facilitator is not qualified to assess my medical or psychological fitness, and that it is my responsibility to seek guidance from a qualified healthcare professional if I have any concerns before or after participating.
2. Nature of Breathwork & Spinal Energetics
I understand that breathwork and spinal energetics may involve strong connected breathing, nervous system stimulation, energetic facilitation, and involuntary or spontaneous movement, which may lead to intense physical sensations or emotional experiences.
These experiences may include, but are not limited to, tingling, heat or cold sensations, involuntary movement, emotional release, dizziness, temporary disorientation, or fatigue. I acknowledge that I may find the activities physically, emotionally, or mentally challenging, and I choose to participate with awareness, self-responsibility, and care for my own limits.
3. Medical Conditions & Contraindications
I understand that breathwork and spinal energetics are not recommended or may require prior medical clearance for individuals with certain medical or psychological conditions.
These include, but are not limited to:
• Cardiovascular conditions (including history of heart attack or uncontrolled high blood pressure)
• Epilepsy or seizures
• Glaucoma or retinal detachment
• Severe or untreated PTSD
• Bipolar disorder, schizophrenia, or dissociative disorders
• Severe asthma
• Osteoporosis
• Use of prescription blood thinners (e.g. Coumadin)
• Recent major surgery or injury (within the last 6 months)
• Pregnancy (please contact the Facilitator prior to participation)
I confirm that I am not pregnant at the time of signing, unless disclosed otherwise.
I agree to inform the Facilitator prior to participation if any of the above conditions apply to me, or if I am currently taking a combination or “cocktail” of medications that may affect my physical, emotional, or psychological response during the session.
4. Support & Aftercare
I acknowledge that breathwork and spinal energetics are self-exploratory and personal practices. I understand that I am responsible for seeking appropriate professional, medical, or therapeutic support if I experience ongoing physical, emotional, or psychological discomfort following a session.
5. Assumption of Risk
I understand that breathwork and spinal energetics involve inherent risks that vary from person to person and cannot be entirely eliminated. These may include physical discomfort, emotional distress, or unexpected reactions.
By choosing to participate, I expressly and voluntarily assume these inherent risks. I agree to listen to my body, honour my limits, and communicate with the Facilitator if I need to pause, modify, or stop participation at any time.
6. Release of Liability
In consideration of being permitted to participate in breathwork and/or spinal energetics sessions with Camilla, Elena and Sara I agree to take full responsibility for my participation and personal well-being.
To the fullest extent permitted by law, I agree to release and hold harmless Camilla Drema from claims arising from my voluntary participation in the activities, except where such liability cannot be excluded by law. This includes claims related to physical injury, emotional distress, or other effects experienced during or after sessions.
This release applies to myself, my heirs, and legal representatives.
7. Media Consent
I understand that breathwork and spinal energetics sessions may occasionally be photographed, filmed, or otherwise recorded for educational or promotional purposes. I acknowledge that I will always be informed when recording is taking place.
I consent to the use of my image or likeness in such materials, including on websites or social media platforms, unless I notify the Facilitator otherwise in writing.
8. Communication Consent
I consent to being added to the Facilitators' email database for session-related communication, updates, and relevant offerings. I understand that I may unsubscribe at any time.
9. Online Sessions
I understand that all of the above terms apply equally to in-person and online breathwork, spinal energetics, and coaching sessions, whether live or recorded.
10. Acknowledgement
I acknowledge that I have carefully read and fully understand this agreement. I am aware that by signing this document, I am agreeing to take personal responsibility for my participation and well-being. I enter into this agreement voluntarily and with informed consent.