Health History Form

Please complete the form below

Name *
Does your physician know you are participating in this teacher training?
(e.g. inversions, headstands, back bend)
Do you now, or have you had in the past:
I understand that participation in this activity is completely voluntary. I hereby waive and release Mona Ceniceros, MonaYogini, Sun Moon Studios, its employees and instructors of any liability in case of an accident. I know as part of yoga teacher training I may be photographed. I give my consent to use these photos for promotional purposes.

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