Forms

About
- Class Descriptions
- teachers
Schedule
Events
training
- 200 HR YTT
- Wheel YTT
Forms
- Health Assessment
- Teacher Training
Contact

FORMS

PLEASE FILL OUT THE FOLLOWING
Form must be filled out prior to entering class.

* Indicates required field

Name *

First

Last

DATE

month *

Day *

Year *

Class Time *

Select One *

HAVE YOU EXPERIENCED ANY OF THE FOLLOWING COVID-19 SYMPTOMS IN THE PAST 14 DAYS? *

Fever or chills Cough Shortness of breath Difficulty breathing Fatigue Muscle or body aches Headache New loss of taste or smell Sore throat Congestion or runny nose Nausea or vomiting None of the above

Have you tested positive taking a COVID-19 test in the past 14 days? *

Yes No

Have you been in close contact with a confirmed or suspected COVID-19 case in the past 14 days? *

Yes No

Submit

CONTACT

Phone
631-228-4319

Email
freespiritwarriorsyoga@gmail.com

VISIT

Location
Free Spirit Warriors Yoga
491 North Country Road,
Miller Place, NY 11764

FOLLOW

About
- Class Descriptions
- teachers
Schedule
Events
training
- 200 HR YTT
- Wheel YTT
Forms
- Health Assessment
- Teacher Training
Contact