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Release and Waver Form

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Please list health concerns, injuries, or medical conditions that might be relevant to your yoga practice. This could include back/neck pain, knee pain, hip pain, pregnancy (current), or if you are recovering from surgery.
Name
I hereby agree to all the following terms and conditions:
Please ensure that checkboxes 1 through 9 are checked for this document to be valid.
Full Name (Digital Signature)
Day / Month / Year