Even Keel Wellness Spa (51-0475299)
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Carpal Tunnel Syndrome
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Prenatal (check boxes to enter details below)
Due Date
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Anemia
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Sciatica
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Previous C-Section
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Hypoglycemia
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High Risk Pregnancy
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Sacral Injury
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Tailbone Injury
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Physical Activities You Participate In
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Additional Info
Consent for Model/Photo/Video Release
Consent for Model/Photo/Video Release
I hereby irrevocably consent to and authorize the use and reproduction by Alexa Zaledonis DBA Even Keel Wellness Spa and/or Even Keel Wellness Spa or anyone authorized by you, of any and all photographs or video/film, which you have taken of me for the purpose of the following including, but not limited to before and after photos or videos for the purpose of social media content, without further compensation to me. All images and/or video/film/digital assets shall constitute your property, solely and completely.
I do not consent
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