Healing Body Project – Movement Program
Waiver & Release Form
Please read the following information carefully, date and sign the form. If you are under the age of 18, a signature of a parent or guardian is also required
1. If at any time during the Healing Body Project Program, you experience any emotional and/or physical discomfort or strain, discontinue the activity, and if required, ask for support from the facilitator. At times, the Healing Body Project Program will require minimal movement through meditation. This may include sitting in a comfortable meditation position either in a chair, on the floor, lying down or standing.
2. As is the case with any physical activity, the risk of injury is present and cannot be entirely eliminated.
3. The Healing Body Project Program is not a psychological service and is not a substitute for individual physical or psychological therapy, or medical examination, diagnosis or treatment. The Healing Body Project Program may not be safe for those with certain medical conditions. You should consult with your relevant health practitioner prior to commencing classes. This program is psychoeducational in nature and is not a substitute for therapy or treatment of a mental disorder or illness, nor for healing physical pain.
4. By signing this form, I acknowledge that I have read and understood this form, and agree that:
- Participants inform the business of any medical or mental health conditions, or pregnancy;
- Protection against loss or damage to personal property;
- Participation being at the participants own risk;
- Agreement of the participant that the service is not a psychological service and is psychoeducational in nature
- Distress may arise as part of the program and therefore participants are prepared and equipped to cope with the associated distress.
- As part of the program participants may discover that they need to access further therapeutic support and agree to do so at their own cost.