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Health Declaration

Please fill out the following form ahead of any SUP Session with us!

First Name

Email Address

Last Name

Date of Birth

Are you currently suffering from a medical condition, illness, or injury?

No

Yes

Are you currently taking medication for any serious medical condition?

No

Yes

If you answered "Yes" to either question, please enter brief details

I declare that I am physically able to take part in the session booked with The SUP Life and the info I’ve provided is accurate & complete

Signed

Today's Date

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