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CONTACT INFORMATION

Parent/guardian Information if student is a minor (Name, Phone Number, Relationship)

Emergency Contact (Name, Phone Number, Relationship)

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Please help me get to know you by answering the following questions:
Class you are interested in: Required
Have you taken Yoga before? If so, please tell me your experience:
What are you hoping to achieve by taking this class:
Do you have any health or medical conditions? (Surgeries, injuries, illnesses, high blood pressure, glaucoma, etc.)
Is there anything else you would like to share with me or think it's important for me to know?

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