Jean-Pierre Barral Symposium – Participant Submission Form

This form is to be used by Barral Institute (BI) practitioners who would like to have a client considered to participate in a demonstration session with Jean-Pierre Barral. This will take place at the Jean-Pierre Barral Symposium held on the 26th April 2016 in Sydney, Australia.

The final date for submissions is the 15th of March 2016. The selections will be made by Gail Wetzler, PT, DPT, EDO, BI-D, and will be based on the information provided below.

If your client is chosen, you will be contacted directly by BIA satellite, Shane Hill by the 4th April, 2016.

*IMPORTANT* When submitting your client for this event, please make sure your client is fully aware that they will be treated in front of an audience of potentially 120 practitioners and that this event will be filmed and the footage used for promotional purposes and practitioner education.

Jean-Pierre Barral Symposium - Patient Submission Form

Contact Details

Please ensure the below information is completed by the BI practitioner, in order for us to contact you in regards to your submissions. Especially in the event that we have any questions or queries.

Candidate Information