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Hello from Annie
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Hello from Annie
Prenatal Yoga Consent & Release
First Name
Last Name
Estimated Due Date
Phone
Email
Your Baby's Gender
Boy
Girl
Other
Have you practiced yoga before?
Yes
No
Is this your first child?
Yes
No
If this is not your first child, please list the ages of children at home.
Emergency Contact
Emergency Contact Phone Number
By printing my name below, I acknowledge that I am physically able to participate in the Prenatal Yoga classes at Villager Yoga. I acknowledge that I have spoken to my medical provider and received permission to participate in Prenatal Yoga classes.
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