WAIVER AND RELEASE OF LIABILITY

Monana Wellness LLC – New Mexico

NOTICE: Please read this document carefully before signing. By signing, you acknowledge that you have voluntarily chosen to participate in yoga, pranayama, meditation, and/or spiritual coaching/guidance sessions provided by Monana Wellness LLC (“the Company”) and that you fully understand and agree to the terms below.

1. Acknowledgment of Voluntary Participation

I understand that participation in yoga, pranayama, meditation, and spiritual coaching/guidance activities, whether in person or virtually, is entirely voluntary. I acknowledge that I am participating of my own free will and am solely responsible for my physical, mental, and emotional well-being during and after participation.

2. Assumption of Risk – Physical Activity

I acknowledge that yoga, breathwork (pranayama), and other physical movements involve inherent risks, including but not limited to muscle strain, injury, or aggravation of pre-existing conditions.
I affirm that I am physically fit to participate and have consulted my physician regarding any condition that may affect my ability to safely engage in these practices. I accept full responsibility for any risks, injuries, or damages—known or unknown—that may result from my participation.

3. Emotional and Spiritual Discomfort Disclaimer

I understand that meditation, breathwork, and spiritual guidance can bring up emotional material, energetic shifts, or psychological discomfort as part of the inner growth process.
I acknowledge that such experiences are a normal aspect of personal exploration and do not constitute psychological or medical treatment. I agree to take personal responsibility for my emotional and mental well-being during and after sessions.

4. Non-Therapy and Confidentiality Statement

I understand that the services provided by Monana Wellness LLC, including spiritual coaching, yoga, meditation, and breathwork, are not psychotherapy or mental health treatment and do not substitute for professional medical or psychological care.
I affirm that no diagnosis, prescription, or treatment is provided.
I also acknowledge that while the facilitator will maintain confidentiality of what is shared in sessions, such confidentiality is
not protected under therapist–client privilege, and legal exceptions may apply (e.g., threats of harm to self or others, or when required by law).

5. Release and Waiver of Liability

In consideration of participating in these activities, I hereby release, indemnify, and hold harmless Monana Wellness LLC, its owner(s), instructors, employees, and agents from any and all claims, demands, or causes of action arising out of or connected with my participation.
This release applies to all claims of negligence, whether active or passive, to the fullest extent permitted by law in the State of New Mexico.

6. Medical Disclaimer

I understand that it is my responsibility to consult with a physician before beginning any wellness, yoga, or meditation program. I certify that I am in good health and capable of participating safely. I will immediately stop any activity that causes pain, dizziness, or distress and will inform the instructor accordingly.

7. Virtual/Online Participation

For online or virtual participation, I acknowledge that I am solely responsible for creating a safe environment for practice. I understand that Monana Wellness LLC cannot monitor my physical environment or provide immediate assistance in the event of injury.

8. Photo, Video, or Audio Consent (Optional)

I understand that sessions may occasionally be recorded or photographed for educational or promotional purposes.
☐ I
consent to the use of my image and voice.
☐ I
do not consent to the use of my image and voice.

9. Acknowledgment and Understanding

I have read this Waiver and Release of Liability fully and understand its contents. I voluntarily agree to the terms stated and understand that by signing this form, I am giving up certain legal rights, including the right to sue.

Participant Full Name: _________________________

Signature: ___________________________________

Date: ___________________

Parent/Guardian Signature (if under 18): __________________________

Emergency Contact Name & Phone: _____________