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Breath Work Consent & liability Application Waiver Form. 

Breathwork Consent & Liability Application Waiver Form

Welcome to Strong Happy Healthy Loved Pty Ltd (SHHL).

Before participating in any breathwork session — online, in-person, or in a group — please complete this form.

Your safety and well-being are our priority.

Birthday
Day
Month
Year
What program are you interested in?
1 on 1 Masteryourmind with Carl
4-Phase Breakthrough System
Breathwork introduction Group
Facilitator training

 SAFE PARTICIPATION CHECK

“Do you have or have you ever experienced any of the following conditions?”

If you selected any of the above, please consult your doctor before participating.

Participant Declaration

I declare that I am in good physical, mental, and emotional health, and I understand that SHHL facilitators are not doctors or therapists.


I acknowledge that breathwork sessions are intended for personal growth and relaxation, not for diagnosis or medical treatment.


I take full responsibility for my physical and emotional well-being during and after each session.

Liability Release

I voluntarily participate in SHHL breathwork sessions, fully aware of the potential risks and effects.


I release Strong Happy Healthy Loved Pty Ltd, its facilitators, and representatives from all liability, claims, or damages that may arise from participation.


I waive any legal rights to pursue claims related to my participation and accept full personal responsibility for my experience.

Media consent

Agreement Confirmation

Choose 1.

Join the SHHL Community

Click the link to access the SHHL Skool platform. Create your account (or log in), answer the short entry questions, and request to join. Once approved, the system will automatically unlock the program you’ve enrolled in. Your content will appear in your dashboard, ready for you to begin.

Strong Happy Healthy Loved

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© 2026 by Strong Happy Healthy Loved Pty Ltd ACN: 682692146 ABN: 96682692146  (SHHL). All rights reserved.

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