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Health and Safety Information Form

Please fill out this form before attending your first class. Your safety and well-being are our top priorities.

1.⁠ ⁠Personal Information

2. Health Information

Do you have any medical conditions or injuries we should be aware of?
Yes
No
Are you currently pregnant or postpartum?
Yes
No
Do you have any allergies or sensitivities?
Yes
No

2025 © KASIA CRYSTAL YOGA, LLC. All Rights Reserved.

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kasiacrystalyoga@gmail.com

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