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Health Declaration

Please fill out the following form
in order to participate in our activity.

Have you been hospitalized in the last 12 months?
Are you suffering from a medical condition, illness, or injury?

Thanks for submitting!

Gym & Fitness Liability Waiver
Do you have a doctor’s permit to participate in intense physical activities?

Thanks for submitting!

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Jacqueline Valmai McIntosh
138/1305 Anzac Avenue
Auckland City
New Zealand
 0210 253 7479

 

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