Register by March 1st 2017

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SUP Yoga Waiver Form

Name: ___________________________

Date: ________________________

Address: ________________________

Email: ________________________

City/State/Zip: ____________________

Phone: _________________________

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How did you hear about us? __________________________________

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What is your SUP yoga experience? (X which applies to you)

 ____ No Prior Experience  ____ 2-5 Times ____ More than 5 Times

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Do you have any injuries we should know about?

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