Welcome to bodymind elevation Please fill in and agree to the indemnity release to attend your session, workshop or event. Name * First Name Last Name Email * Please list any injuries, pregnancies or otherwise that your practitioner needs to be aware of or type 'NIL': * Disclaimer and Indemnity Release: * The purpose of this check box and waiver is to clearly explain the scope of practice carried out by Jacqui-Maree Bailey and to ensure no misunderstanding occurs between herself and clientele. Please read the statements below and sign to confirm your agreement. The practitioner’s primary role is to encourage and support your goals for improved health and well- being through a holistic and integrated approach to movement, meditation, bodywork, coaching, mentoring. All services and information you receive from Jacqui-Maree Bailey are not intended to be, replace or contradict any medical advice or instructions you have received or do receive from your doctor. By signing this Indemnity Release, you hereby agree to understanding this and release Jacqui-Maree Bailey of all indemnity regarding any actions you choose to take in relation to your health and wellbeing. By signing this Indemnity Release, you are confirming you know and understand that Jacqui-Maree Bailey is NOT a medical doctor and has furthermore advised you to seek clearance and medical advice from your GP before taking any further action or seeking any information and services from her in the form of and movement, yoga, remedial bodywork, holistic coaching or meditation therapy. All information provided within the sessions or otherwise are developed and owned by Jacqui-Maree Bailey, and as such cannot be repurposed, shared or used in any way that would constitute theft or misuse of intellectual property. By checking this box I confirm I understand the above Indemnity Release, IP agreement, and confirm I have consulted my GP where appropriate and I am fit and able to partake. I agree Checkbox I agree to receive updates and offers from Bodymind Elevation Yes Thank you!