M & M Soulful Stroll Shinrin Yoku Walk Registration Form

Forest Therapy Registration Form
Please note this is not an excersise walk nor is it a hike; but a stroll where we are frequently stopping for periods of time.
Name

First NameLast Name
Age
Phone Number

Area CodePhone Number
Email
example@example.com
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Can you confirm that you have no health concerns preventing you from completing this stroll for the duration of 1-2 hours?

YES
Name

First NameLast Name
Date

MonthDayYear
Date
Signature

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Forest Therapy Registration Form