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Leafy Legends Session Consent Form

Participant Information

Birthday
Day
Month
Year
Gender
Male
Female
Other

Health & Safety

Any allergies, medical conditions, prescribed medication, or emergency advice?
a. Yes
b. No
Any special dietary requirements?
a. Yes
b. No
Special needs or requirements
a. Yes
b. No

Emergency Contact Information

Consent & Acknowledgements

Additional Permissions

Guardian Information

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