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Yoga 24 Fitness - Registration Form
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Usha anantFull Name
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Phone Nu78o49793o8mber
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E-Mail
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Date of29 4 1987 Birth
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Gender
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Do you have any existing medical conditions?  
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Are you currently taking any medications?  
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Membership Plan:  
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Which Class do you want to choose?

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Do you acknowledge that Yoga24Fitness is not responsible for any health issues arising from undisclosed medical conditions or medications you may be taking?
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