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Private class information form

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What is the main reason or reasons you would like your Child/Teen to attend a private session?

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Please list your Child/Teens interests:

Has your Child/Teen ever had any surgery?
Has your Child/Teen ever had a physical injury requiring hospitalisation?
Does your Child/Teen have Asthma or Allergies
Does your Child/Teen have any physical limitations?
Does your Child/Teen have any sensory issues or sensitivities for example light, loud noises, smells, textures.
Does your Child/Teen experience Anxiety?
Does your Child/Teen experience Depression?
Does your Child/Teen lack confidence and self-esteem?
Additional information or areas you would like to focus on during these sessions.

Thank you for submitting!

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Hours of Operation

Mon-Fri 8.30am - 5.00pm

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melskidsyoga@yahoo.com.au

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We acknowledge the Worimi people who are the traditional owners of the land where Mel's Kids Yoga resides.

We pay our respects to Elders past and present of the Worimi Nation.

We extend our respect to all Aboriginal and Torres Strait Islander people.

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