VICTORIA WAITS
Home
About
Classes
Workshops
Earth Retreat
Plans & Pricing
Video Library
Blog
Wildlove Community
Contact
Health Declaration
Feedback Form
FAQ
Shop
Gift Card
More
Use tab to navigate through the menu items.
Log In
Health Declaration
Please fill out the following health declaration form in order to participate in any classes/workshops with Wildlove Yoga. Submissions are valid for 6 months.
First Name
Last Name
Email
Have you been hospitalised within the last 12 months
No
Yes
Are you currently suffering from a medical condition, illness, or injury?
Date
Initials
I respect other participants personal space within face to face workshops. I am aware of current covid guidelines in public gatherings.
I accept full responsibility in attending yoga classes with Wildlove Yoga.
Submit
Thanks for submitting!