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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?
Are you pregnant?
Do you have any allergies? Food, essential oils.
Date
Initials
I accept full responsibility in attending yoga classes with Wildlove Yoga.
Submit
Thanks for submitting!
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