Some participants may notice physical or emotional responses during relaxation or breath-focused practices including:

• Changes in breathing pattern
• Light-headedness
• Muscle relaxation
• Emotional shifts
• Fatigue or calmness

Participants are encouraged to adjust, pause or discontinue any activity at any time based on their comfort level.

Support from the facilitator will be available throughout the session.

QiActivate sessions may occasionally be photographed or recorded for educational and promotional purposes including use on websites, social media platforms and marketing materials.

If you do not consent to photography or video recording, please notify the facilitator upon arrival prior to the session commencing so that appropriate arrangements can be made to ensure you are not included in any photography or video recording.

By entering my full name and the date below, I confirm that the information provided in this form is accurate and complete to the best of my knowledge.

I understand that QiActivate sessions are educational wellbeing activities which may include breathwork, meditation, sound-based relaxation practices and gentle physical movement.

I acknowledge that these sessions are not intended to diagnose, treat or replace medical or psychological care.

I understand that it is my responsibility to monitor my own physical and emotional comfort levels during any activity and to modify, pause or discontinue participation as needed.

I acknowledge that typing my full name and the date below constitutes my electronic signature.