Monthly Breathwork w/ Caitlin Lili

Name *

First Name

Last Name

Please make note of the contraindications of this work. You can email Caitlin at caitlin.lili@icloud.com with questions if you fall into one of these categories but have a desire to move forward with this work. (Please check all that apply.) *

Pregnancy

Cardiovascular disease

Angina

Heart attack

High blood pressure

Glaucoma

Retinal detachment

Osteoporosis

Recent injury or surgery

History of panic attacks

Psychosis

Severe mental illness

Seizure disorders

Family history of aneurysms

Any conditions for which you take regular medications

Coronavirus of flu-like symptoms

None of the above

I have read and agree to the above terms and conditions *

I agree