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Health Questionnaire & Waiver 

For most people, the physical activities and the meditative inquiry practices of yoga should not pose any problem or health risk.  However, if you have any physical, emotional, mental or medical conditions that might be aggravated by yoga practice, you should consult your doctor or therapist for advice as to whether you should participate in this program.  As well, please inform your instructor of these conditions.

Do you have any previous yoga experience?
Have you suffered an injury, illness or traumatic event?
Have you ever been told that you should only do physical activity recommended by a doctor?
Do you lose your balance because of dizziness or have you ever lost consciousness?
Do you have a bone or joint problem (for example, back, knee, neck or hip) that could be made worse by a change in your physical activity?
Is your doctor currently prescribing drugs (for example, water pills) for your blood pressure or a heart condition?
Do you know of any other reason why you should not do physical activity?
Are you presently on a regular exercise program (3 - 5 days per week)?
Are you diabetic?
Are you pregnant?
Do you have a history of asthma or emphysema?
Have you had surgery within the last three months?
Have you ever had an eye injury?
RELEASE, WAIVER AND INDEMNITY. In return for Kim Lawrence, operating under the business name and style of Full Life Yoga, permitting my participation in a Yoga class or classes with Kim Lawrence at 26 Elmwood Place, Regina, SK (hereinafter the “Classes”), I herby agree as follows:

Thanks for submitting!

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