studio Health Waiver

To complete registration, please fill out the following medical form.

First Name

Email Address

Last Name

Date of Birth

Do you have a doctor’s permission to participate in physical activities?

No

Yes

It is important in yoga that you listen to your body, and respect its limits on any given day. If any concerns arise, you will notify JBH Yoga.

No

Yes

Initials

Today's Date

I declare that the info I’ve provided is accurate & complete

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Get in touch

"Start in an easy way, a simple way. It will take you all the way."

Denton, NC 27239

1-336-870-3870

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Last Name

Phone

Message

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