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RELEASE, WAIVER, AND INDEMNITY OF LIABILITY AGREEMENT

Moylan Ryan PLLC.

Your Full Legal Name (The Participant)

PARTICIPANT CONTRACT - This Participant Contract and Release, Waiver and Indemnity of Liability Agreement (hereinafter “Agreement”) is entered into by (The full Legal Name As printed above) (“Participant”) and Moylan Ryan PLLC] (“Organizer”). In consideration of being admitted to the Program and permitted to participate in the activities and Neuro - Dynamic Breathwork ("NDB").

The Parties hereby agree as follows:

1. This Agreement is made and entered into under the laws of the State of Arizona and the United States and shall be interpreted, governed and enforced under and pursuant to these laws.

2. Participant agrees that should an action be brought against Organizer and/or any Neuro - Dynamic Breathwork Facilitators or Apprentices working at the Program for any reason whether to enforce the terms of this agreement or on some other basis, that all disputes between Participant and Organizer will be litigated in Arizona and Participant waives any rights he/she may have in litigating in any other jurisdiction.

3. Participant has filled out the Medical Information Form and certifies that he/she does

not have any medical or physical conditions which would impair or affect his/her ability

to engage in any activities or which would cause any risk of harm to Participant, other

participants and/or any participating Neuro - Dynamic Breathwork Facilitators or Apprentices or otherwise endanger Participant’s health while attending a Moylan Ryan

PLLC Program.Participant further agrees that it is Participant’s responsibility to maintain

the accuracy and contemporaneousness of the Medical Information Form. Organizer will assume that the Participant's Medical Information Form is correct until the Participant files an updated or corrected form. The medical information is fully incorporated by reference within this agreement.

4. Participant is aware that certain activities he/she may engage in during the Program

are physically, emotionally and/or mentally stressful. Among other processes, it will

include breathing that is faster and deeper than normal over a prolonged period which can cause dizziness, palpitations, tingling/numbness of the extremities, carpopedal spasms [involuntary contractions of the muscles of the hands and feet], tetany, ringing in the ears, clouded/distorted vision, perceptual distortions, and feelings of lightness, astonishment and/or euphoria. Physical Activities can also include violent twisting and turning while in a lying position and other exertions not normally engaged in by a Participant. Loud music is also used with the described activities.

5. Participant agrees to assume full responsibility for their own physical, emotional and

mental health and hold harmless Organizer, and/or any Neuro - Dynamic Breathwork

Facilitators and Apprentices working with organizer at the Program from any physical,

emotional and/or mental damage that may be attributed to the Program or any participation therein. Participant further holds harmless organizer from any and all loss, liability, injury, damage or cost which may arise out of or in connection with participation in the Program.

6. Participant understands that this Neuro - Dynamic Breathwork Event is intended as a

personal growth experience and should not be used as a substitute for psychotherapy.

7. Participant acknowledges that they have been fully advised concerning the types of

activities which will be engaged in during the program, and understand the risks and difficulties that may arise during the program. Participant understands that they may leave at any time subject to the understandings and representations in the Medical Release Form, which is incorporated herein by this reference. Participant understands that by executing this release and engaging in the program, they are assuming those risks which are inherent to the activities involved.

8. I understand that since my experience will be guided by my own psyche/inner healer,

despite any representations made by any of your staff, or in any of your websites or other marketing materials regarding Neuro- Dynamic Breathwork workshops, Organizer cannot guarantee any specific type of experience, result or benefit from participating in the workshop. I also understand that once the workshop begins, I will not be entitled to any return or reimbursement of any of my workshop tuition for any reason

9. Participant understands that contra-indications may exist for the anticipated activities

if Participant is or has been suffering medical or psychological/psychiatric conditions

requiring professional care; and that the activities described can also trigger repressed

traumas. Hence, Participant represents that they are not currently, nor for the preceding

five years have been, under the treatment and care of a physician or therapist for any

condition, nor has they have been diagnosed for any condition or currently taking any

medication or mind altering substance, except as expressly disclosed in the Medical

Information Form; and failure to disclose same constitutes a basis for disqualification

and dismissal from the program, and shall be deemed a knowing and voluntary waiver

and complete release of any claim against Organizer as more specifically described in Section 16 and related provisions herein.

10. Participant understands and agrees that they are attending the Program at the

discretion of the Organizer and can be dismissed from the Program at any time without

being informed of the reason for dismissal. Participant also understands and confirms

they agree that the Organizer makes no guarantee of any type of experience or any experience whatsoever [see also the Medical Release Form, which is incorporated herein by this reference].

11. Participant understands that they may not record – audio or video – any portion of these sessions or any persons participating therein.Still photographs will not be taken of any person except with the advance consent of the person being photographed.

12. Participant understands and agrees that the Organizer is not responsible for property that is lost, stolen, or damaged while in, on, or about the premises.

13. Participant acknowledges that they have been advised (a) concerning the types of

activities which will be engaged in during the Program, and understands the risks and

difficulties that may arise during the Program; and (b) that if Participant feels too

uncomfortable to continue at any point during the breathwork, they are to stop

immediately and check in with Organizer before continuing.

Participant understands that they may decline to do any of the activities. Participant

understands that by executing this release and engaging in the Program, they are

assuming those risks which are inherent to the activities involved.

14. Participant acknowledges, understands, and agrees that this Agreement, and all of the releases, terms and conditions contained herein, shall apply with equal force and govern any future Neuro - Dynamic Breathwork Programs in which participant partakes with Organizer thus obviating the need for me to sign this Agreement each and every time I partake in any Neuro - Dynamic Breathwork activities or events. Participant further agrees to bring any changes in their Medical condition to Organizer’s attention before participating in any Neurodynamic Breathwork event.

15. If Participant is under 18 years of age, participant must have one of their parents or

guardians present at the Program.

16. Participant waives, releases and discharges any and all claims, rights and/or causes of

action which they now have or which may arise out of or in connection with participation

in the Program as well as which may arise out of or in connection with Participant’s attendance and/or participation in the activities associated with the Program. Therefore, under no circumstance will Participant prosecute or present any claim for personal injury, property damage or any other cause of action against Organizer and/or and participating Neuro - Dynamic Breathwork Facilitators and Apprentices. See alsoMedical Release Form, which is incorporated herein by this reference.

17. This agreement is binding on Participant’s heirs, assignees, dependents, personal

representatives and estate.

18. No oral representations, statements or inducements have been made to Participant to cause them to enter into this agreement.

19. At the choosing of Organizer and/or any participating Neuro - Dynamic Breathwork

Facilitator or Apprentice any claim or controversy that arises out of or relates to this

agreement, or the breach of it, may be settled by arbitration in accordance with the rules of the American Arbitration Association. Such arbitration shall be binding upon the parties and Judgment upon the award rendered may be entered in any court with jurisdiction.

20. Should Organizer and/or any participating Neuro -Dynamic Facilitator or Apprentice be successful in bringing an action to enforce the terms hereof or successful in defending itself from a suit brought by Participant, Organizer and/or any participating Facilitator and/or Apprentice shall recover all costs and expenses incurred in such action, including reasonable attorneys’ fees.

21. Should any provision of this Agreement be held invalid or illegal, such illegality shall not invalidate the remainder of this Agreement. In that event, this Agreement shall be construed as if it did not contain the invalid or illegal part, and the rights and obligations of the parties shall be construed and enforced accordingly.

I have read this agreement, which includes the Medical Release Form, incorporated herein by this reference, and understand it contains release of all claims language for injuries and damages. I voluntarily sign my name evidencing acceptance of the provisions of this agreement. If English is not my native language I have either studied enough English to be able to read and understand this agreement, or I have had this agreement explained to me in my native language.

Participant Signature

Signature

Printed Name

Date