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Health Intake Form: NOURISH Restorative Yoga & Massage

Thank you for signing up for NOURISH Restorative Yoga & Massage. I look forward to facilitating a healing experience for you and connecting with you in person. Before our session, please let me know of any relevant physical or health concerns, conditions or limitations you are seeking to address or that I should be aware of as it relates to yoga and massage, including a history of injury, accident or surgery. Please also complete the separate liability waiver.

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Kerri Zelman, studio owner
CONTACT KERRI:
info@boalsburgyogastudio.com

LOCATION:

106 N. Church St, 2nd floor

MAILING ADDRESS:

P.O. BOX 318

Boalsburg, PA 16827

© 2023 Boalsburg Yoga & Wellness
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