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Sacred Feminine Registration March 27th, 2022

The information below will assist us in providing you with a safe event. Please feel free to ask any questions about the information being requested. Please note: all information provided below will be kept confidential unless allowed or required by law. Your written permission will be required to release any information.
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Have you done massage therapy/face cupping/meditation/reiki/breathwork or hypnosis? Please elaborate on limitations below.*

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Have you participated in yoga or mindful movement? Please elaborate on limitations below.*

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Are you currently or suffering from a medical condition, illness, or injury? Or taking any medications (prescription, over the counter, supplements, natural or plant medicine)? Please elaborate on limitations below.*

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I ________, agree to participate with the understanding that the information provided by both Fiona Thomson RMT and Gail Sauer ND FABNO, is with good intentions and for my own health and well -being. I agree and assume full responsibility for any risks, injuries, damage known or unknown which might occur as a result of participating in the treatment. I release Fiona Thomson RMT, Gail Sauer ND FABNO and Silver Spruce Naturopathic of any liability with respect to any advice or guidance.
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Sacred Feminine Registration March 27th, 2022

Participant Information