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Poetic Societies | Class Enrollment Form
Commit to your Somatic, Sonic, and Scenic Liberation.
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I am here to (work on...) *
I have/had injuries in...areas. *
I want you to know that...
I like body-mind practices such as... (yoga, meditation, wellness, exercise) *
My most favorite body postures/positions are...
I practice with my body...time(s) per month
My favorite sceneries are...
My favorite plants are...
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I work...hours per week. *
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I work...(multiple chooses possible) *
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I carry my stress in...areas. *
I feel the mass of being inside me mostly in...areas? *
I feel physical/emotional pain inside me in...areas? *
I love my...(body parts).
I want to love more my...(body parts). *
My high priority areas are *
My legal name is *
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I go by (she/he/they/...)
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Emergency Contact Name *
Emergency Contact Number *
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I am comfortable with Using LiveLab. *
Date *
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Whenever with Poetic Societies, I am the sole entity responsible for my health. I release Poetic Societies from any and all liability as a consequence of my participation in the workshops and yoga classes. *
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