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Medical questionnaire and waiver agreement

Please fill out the following form to help us understand your physical condition to ensure we provide you with a safe and personalised practice.

Have you been hospitalised in the last 12 months or are you currently suffering from a medical condition, illness, or injury?
Have you read and do you agree to The Blissful Canary waiver form, terms and conditions and code of conduct (located below)?

Thanks for submitting!

The Blissful Canary
Private Yoga Studio

Take time out for yourself.  Take a deep breath.  Come and find a practice that centres you, a practice to connect to yoursel
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