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Registration
First name
Last name
Email
Phone
Social Media Handle
How did you learn about this Wellness Vacation?
Kemetic Yogi
Alicia
Zanetta
Social Media
Other
What's inspiring you to take a Wellness Vacay? What do you wish to receive from this experience?
What is your level of comfort when it comes to getting into the water? (pool/ocean/lagoon/river/waterfall)
Do you have any health limitations or physical injuries? Please indicate if you have any major health issues (ex high/low blood pressure, arthritis, asthma,diabetes, seizures, osteoporosis,difficulty walking, mental health concerns, etc.)
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