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Health Declaration

First Name

Last Name

Email

Phone

Have you taken this style class/workshops before?

Yes

No

Do you have any special health concerns (including high blood pressure or pregnancy) or any current/previous injuries or illnesses we should know about?

Date

Initials

I confirm that the information given in this form is true

Thanks for submitting!

Yoga Teacher Training
Service Information
Started May 29
$2,350

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