I consent to [my child/dependant] receiving one or more lessons in the Anat Baniel Method^Ⓡ (ABM) NeuroMovement^Ⓡ (NM) from Sonia Maginnity, Qualified ABMNM Practitioner and/or Carole Keefe, Qualified ABMNM Practitioner.

I understand that this work uses touch to access brain plasticity [for my child/dependant], but that no guarantees have been made concerning the outcomes of these lessons.

I realise that this work is not a treatment for medical emergencies and is not intended as a substitute for medical procedures suggested by my [child/dependant’s] primary care provider and/or other medical specialists.

I fully understand that nothing told to me by a Practitioner in this field is a medical diagnosis, nor do I consider it so.

I have provided information on all my [child/dependant’s] known medical conditions and take it upon myself to keep the practitioner updated on any changes in conditions.

I agree to assume all risks and responsibilities of this participation. 

I understand that I am responsible for giving at least 24 hours notice for any cancellation; otherwise, I am still responsible for payment for the missed lesson.