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Wild Fox Way Health Waiver

To register to the Wild Fox Way Studio, please fill out the following medical form

Have you ever been told you have a heart condition?
Have you lost your consciousness in the last past 12 months?
Have you ever had a stroke?
Do you have any unexplained pains in your chest at rest or during exercise?
Do you suffer from spells of dizziness?
Do you suffer from asthma?
Do you suffer from any medical conditions that may be made worse form physical activity?
Are you pregnant of have you given birth in the past 3 months?

Thanks for submitting!

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