Nordic Wellness Consent Form
Your information is protected via our privacy policy. Your coach will utilize this form to provide the safest and personalized experience possible.
Which session are you attending?
*
Please Select
University Wellness Training
Nordic Wellness Workshop
1:1 Coaching
Your Name
*
First
Last
Company Name (if applicable)
For employer sessions only
Your Email
*
example@example.com
If you have any health conditions listed below or are pregnant let us know. Our coach will be informed to best support your needs. Type "NA" below if none apply.
*
Examples include: asthma, heart issues, epilepsy and pregnant, etc.
Signature
*
For participants under age 18, a parent/legal guardian must sign.
Continue
Continue
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