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Health Declaration

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

Have you experienced any of the following syptoms in the last 5 days: Fever, Sore Throat, Vomiting, Diarrhea?
Are you currently pregnant?
Do you have nut allergies?
Have you undergone surgery within the last 8 weeks?
Have you sustained an injury within the last 4 weeks?
Have you been diagnosed with any of the following:
Are you currently undergoing treatment for this/these conditions?
Are you currently experiencing any of he following skin conditions:

Thanks for submitting!

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