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Health Waiver
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Do you have any joint, muscle, bone injuries, back problems, if so please give details:
Are there any medical problems present ; Diabetes, epilepsy, heart disease, Hiatus Hernia, Asthma or any other conditions you fell might be relevant
Do you have high or low blood pressure?
*
High
Low
Neither
Are you aware of any physical reason why you should not exercise without medical supervision?
*
Yes
No
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I accept full responsibility for myself during the Yoga class and agree to inform Sally of any changes in my medical condition.
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