ADDITIONAL ACKNOWLEDGEMENTS - The Experience

PARTICIPANT AGREEMENT AND RELEASE OF LIABILITY/COVID-19 LIABILITY WAIVER

I desire to participate in the community circle (the activity) with Shawna Rogers at the Light & Space Collective.

I understand that the State of California is currently subject to a stay-at-home order due to the COVID-19 pandemic.

I am fully aware of the rules and regulations imposed by the State of California and the City of San Diego, while engaging in the Activity.

COVID-19, has been declared a worldwide pandemic by the World Health Organization. COVID-19 is reported to be extremely contagious. The state of medical knowledge is evolving, but the virus is believed to spread from person-to-person contact and/or by contact with contaminated surfaces and objects, and even possibly in the air. People reportedly can be infected and show no symptoms and therefore spread the disease. The exact methods of spread and contraction are unknown, and there is no known treatment, cure, or vaccine for COVID-19. Evidence has shown that COVID-19 can cause serious and potentially life threatening illness and even death.

Shawna Rogers cannot prevent you from becoming exposed to, contracting, or spreading COVID-19 while utilizing Shawna’s services or premises. It is not possible to prevent against the presence of the disease. Therefore, if you choose to utilize Shawna Rogers services, participate in the healing circle and/or enter onto the Light & Space Collective you may be exposing yourself to and/or increasing your risk of contracting or spreading COVID-19.

I represent that:

- I am not experiencing symptoms of COVID-19, such as a dry cough, fever, shortness of breath or difficulty breathing, chills, repeated shaking with chills, muscle pain, headache, sore throat, or new loss of sense of smell and/or taste.

- I have not been advised by a physician that I am COVID-19 positive.

-I will not attend a session if I am exhibiting signs of COVID or illness.

-I am physically able to engage in the Activity including but not limited to, handling my personal belongings.

In consideration for my participation in the Activity, I agree as follows:

1. Assumption of Risk. I fully understand that there are dangers, inherent and otherwise, in the Activity and in engaging in the Activity during the COVID-19 pandemic. I further understand that my participation in the Activity may expose me to the risk of personal injury or death and/or causing me to acquire COVID-19 and transmit it to others. I hereby acknowledge that I am participating of my own free will in the Activity and I agree to assume the full risk of any injuries and/or damages and/or losses of any kind, regardless of severity and including death, that may occur in connection with my participation in the Activity.

2. Waiver and Release of Liability. I, intending to be legally bound for myself and my heirs, personal representatives, next of kin, and anyone who might make a claim on my behalf, hereby waive, release, and discharge Shawna Rogers, the Light & Space Collective and their officers, agents, employees, and volunteers from any and all claims for damages and/or liability, whether caused by any active or passive negligent act or omission of the Light & Space Collective or Shawna Rogers or their officers, agents, employees, and/or volunteers, or otherwise related to my participation and promise not to sue the Light & Space Collective or Shawna Rogers or their officers, agents, employees, and/or volunteers for any damages I incur in connection with the Activity. This release and waiver extends to all claims of every kind or nature whatsoever, foreseen or unforeseen, known or unknown.

I understand that this waiver means I give up my right to bring any claims including for personal injuries, death, disease or property losses, or any other loss, including but not limited to claims of negligence and give up any claim I may have to seek damages, whether known or unknown, foreseen or unforeseen.

3. Compliance with All Rules.

I agree to obey all rules and regulations applicable to the Activity and instructions provided by Shawna Rogers and volunteers during my participation in the Activity.

4. CHOICE OF LAW: I understand and agree that the law of the State of California will apply to this contract.

5. Miscellaneous. I acknowledge and agree that this Agreement is binding upon my heirs, assigns and legal representatives. I agree that this Agreement is intended to be as broad and inclusive as is permitted by California law. I further agree that this Agreement is severable and that if any clause is found invalid, the balance of the Agreement will remain in effect, valid, and enforceable.

CONTRAINDICATIONS TO BREATHWORK

Contraindications to participating in a breathwork class/workshop include:

1) Epilepsy

2) Pregnancy

3) Detached Retina

4) Glaucoma

5) High Blood Pressure that is not controlled with medication

6) Cardiovascular Disease including but not limited to prior heart attack

7) Family history of Aneurysms

8) Strokes, TIAs, seizures or other brain/neurological condition or disease

9) Prior diagnosis by a health professional of schizophrenia or severe psychiatric symptoms.

Note: Asthma is not a contraindication, but we ask that you bring your inhaler to class if you have asthma.