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Covid-19 Health Declaration

How are you feeling today? (Form not required for zoom classes. )

First Name

Last Name

Email

My body temperature is lower than 98.6°F/ 37.5°C

I am not experiencing the symptoms: fever, cough, sore throat

I haven’t been in close contact with a Covid-19 patient in the last 14 days

Initials

Date

Thanks for submitting!

Saturday Studio Yoga 8 am
Service Information
10 US dollars