YOGA CLASS WAIVER FORM
Yoga with Valeria Piccioli, Radiant Body Yoga Teacher
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First Name *
Last Name *
Email *
Emergency Contact Name *
Emergency Contact Number *
Have you practised yoga before?   *
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If yes, please give details *
Please describe any injuries or movement limitations you are aware of *
Do you experience any pain or numbness in these areas, please check any that apply: *
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