Online Membership Disclaimer | Flore & Folk

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- A Seasonal Year
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WELCOME!

Please fill in the online questionnaire and read through the disclaimer form.

Once submitted, you will be emailed with payment details (please check your junk box just incase!)

Online Yoga Questionnaire & Disclaimer

Before you get flowing, please fill and complete all the questions of this disclaimer form in order to participate in our online community. All information provided is strictly confidential.

Full Name

Date of Birth

Email

IT IS ADVISED THAT YOU HAVE SOME BASIC KNOWLEDGE OF YOGA. HAVE YOU PRACTICED YOGA BEFORE?

Yes

No

ARE YOU CURRENTLY EXPERIENCING ANY OF THE FOLLOWING?

Muscular Injury

Joint Injury

Arthritis

Diabetes

High or Low BP

Asthma

Pregnant

Stomach/Bowel Conditions

Epilepsy

Dizzy/Fainting Spells

Seizures

Recent Surgery

None of the above

Other (Please Specify)

I confirm that the information given is correct and true. I have read through the disclaimer and agree the terms and conditions.Disclaimer

Initials

Date

Thank you & welcome to our community!

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A Seasonal Year

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