Terms & Conditions:
Breath-work / Soma Breath / RTT – Consent Form
By participating in a workshop, class, journey or private session you agree to the following terms and conditions:
A. Nature of the Workshop – Breath-work / Soma Breath
The information presented during the Workshop, including ideas, suggestions, techniques, trainings, exercises, initiations, processes, activities, energetic activations, empowerments, downloads, instructions, and other materials (collectively the “Materials”), is educational in nature and is provided only as general information and is not medical or psychological advice.
You understand the Workshop is experiential in nature and focuses solely on personal growth and spiritual transformation and is not to be considered treatment for any physical, emotional, or mental disorder. You agree to consult with your health care providers for any specific medical, emotional, or psychological problems or issues in advance of the Workshop. Further you agree to take full responsibility for your self-care during the Workshop and after.
Any stories or testimonials presented before or during the Workshop do not constitute a warranty, guarantee, or prediction regarding your experience during or after the Workshop. Further, you understand that the Teacher makes no warranty, guarantee, or prediction that you will experience any particular state of awareness or consciousness during or after the Workshop, nor does it make any representation that you will experience any particular outcome on an issue. In the case of a group breathwork workshop you understand that the Workshop includes group processes in which you may voluntarily reveal personal information, you understand that you waive your rights of privacy and confidentiality. (Group workshops only, not for private breath-work sessions or private RTT sessions; they are confidential).
Please be advised that by participating in the Workshop, emotional or physical sensations may surface which could be perceived as negative side effects and possibly cause psychological and/or physical discomfort. If you experience any distressing reactions by participating in the Workshop, you agree to ask for help from the Teacher.
B. Waiver of Liability – Breath-work / Soma Breath
1. You represent that you are competent and able to understand the nature and consequences of participating in the Workshop, and that you are an adult under the laws of the State of your residence. If you are a minor, your parent or legal guardian hereby represents that you are competent and able to understand the nature and consequences of participating in the Workshop.
You understand that your participation in the Workshop is strictly voluntary, at your own risk, and that you freely choose to participate. Since the Workshop is experiential and the extent of the Workshop’s risks and benefits are not fully known, you agree to assume and accept full and complete responsibility for any known and unknown risks associated with your participation in the Workshop, including any physical injury, psychological or emotional effects, death, loss, or property damage.
You agree to release SOMA Breath Ltd, the Teacher, volunteers, and any independent contractors from any liability resulting from your participation in the Workshop. Specifically, you and your heirs agree to fully release, indemnify, hold harmless and defend SOMA Breath Ltd, the Teacher, volunteers, and any independent contractors, from any and all claims or liability, and for any damage or injury, including but not limited to, financial, personal, emotional, psychological, medical, or otherwise, which you may incur arising at any time as a result of your voluntary decision to participate in the Workshop.
In the event of an accident, injury or sickness, you give permission to the Teacher, volunteers, and any independent contractors to seek medical attention and/or authorize emergency medical treatment if necessary. The Teacher will first attempt to communicate with your authorized emergency contact before seeking medical treatment for you, unless it is not feasible or practical. SOMA Breath Ltd, the Teacher, volunteers, and any independent contractors will not be held liable for any accident, injury, sickness, death, loss, or property damage that might arise out of or in connection with such authorized emergency medical treatment.
You further agree to hold harmless SOMA Breath Ltd, the Teacher, volunteers, and any independent contractors from any damages or costs, including Court and attorney’s fees, which may be incurred due to your participation in the Workshop.
Incase of a group Breath-work Workshop only: You agree and understand the Workshop may be filmed, photographed and/or recorded and that SOMA Breath Ltd and the Teacher shall have all rights in and to such film, photographs and/or recording, including the copyright therein. The copyright shall include, but not be limited to, the right to use, re-use, publish, and re-publish and otherwise reproduce, modify, and display any such film, photograph and/or recording for educational and promotional purposes, including without limitation, audiotapes, audio CDs, DVDs, websites, video, or film or any other form of recorded images. You grant SOMA Breath Ltd and the Teacher the right, without compensation to you, to film, photograph and/or record you while participating in the Workshop and you waive any right which you now have or may have hereafter in any such film, photograph and/or recording. You agree to not record by audio, video, photographic or any other means, any portion of the Workshop.
Any and all matters in dispute between the parties to this Agreement, whether arising from or relating to the Agreement itself, or arising from alleged extra-contractual facts prior to, during, or subsequent to the Agreement, including, without limitation, fraud, misrepresentation, negligence or any other alleged tort or violation of the contract, shall be governed by, construed, and enforced in accordance with the laws of the jurisdiction where the Workshop has been conducted, without regard to conflicts of law doctrines and regardless of the legal theory upon which such matter is asserted. If any portion of this Agreement is held to be invalid, it is agreed that the balance of the Agreement shall continue in full force and effect. This Agreement shall be binding upon you and your heirs, family, legal representative, successors, and assigns.
This Agreement constitutes the entire and final agreement between the parties and supersedes any prior oral or written agreements, discussions or understandings.
Hypnotherapy / RTT – Consent Form
Sungee Heijneman offers Rapid Transformational Therapy which includes hypnosis and regression techniques. Often a single session is all that is required to achieve results, however, some clients may need 2, and occasionally 3 or more sessions.
RTT hypnosis is entirely natural, safe, and relaxing. With RTT, clients remain conscious and in complete control throughout, but will feel a strong sense of relaxation and well-being.
During an RTT session the client is usually regressed back to early memories to help discover the root cause of their issue, then the client and Sungee work together using different tools to gain understanding of where the belief/behaviour originated, with a view to change it.
RTT has a great track record but alone does not offer any guarantee of success. The client must want change and be open and motivated. The client must be willing to fully participate in the session and to implement the recommendations of the hypnotherapist and listen to the personalised recording each day for at least 21-28 days.
I understand that Sungee is not a licensed physician, psychologist, or medical practitioner and the information, techniques, methods, recommendations by Sungee are not intended to substitute for diagnosis and care by a qualified physician, nor to encourage the treatment of any illness by persons not recognisably qualified. If you use RTT and are under medical care for any condition, do not make any adjustments to any prescribed medication without the approval of your doctor. If in any doubt, you should contact your physician.
I give Sungee full permission to make audio recordings that may include my voice and I understand that if a recording (or recordings) are made during or after my session(s), Sungee holds full copyright over any forms of media that may be produced and distributed to me. I hereby grant permission to Sungee to respectfully touch me, like lift my arm, touch my shoulder, or rock my head during the course of my hypnotherapy session(s) in order to facilitate the deepening process.
I consent that Sungee may release information to a specified individual or agency if it has been determined that a child or elder is at risk of or is currently being abused; or if I, as a client, am in imminent danger to myself or others.
I hereby give Sungee full permission to hypnotise me and to use Rapid Transformational Therapy in the knowledge that I do so at my own risk. I accept that while RTT has a high success rate, Sungee cannot guarantee any results and the the success of the session(s) depends greatly on my own ability and desire to affect change. I release Sungee from any liability or claims concerning my mental and/or physical well-being during or following the treatment that has been outlined and agreed upon by filling out this form.
I understand that if I am epileptic or suffer from a psychotic illness it is not generally recommended that I undergo hypnotherapy. I hereby agree that by signing this form that I do not currently suffer from these disorders.
I can confirm that I have read the above and understand the process of RTT and hypnotherapy and accept these terms and conditions.
I can confirm that I have read the above and understand the process of breath-work and hypnotherapy and accept these terms and conditions.