About you

Health screening for safer, tailored classes

 

 

Please complete the health form below if this is your first time attending Vernette's classes or private sessions. All details are confidential.

 

This will help me understand you better and customise the practice to your needs. If some fields seem irrelevant for a Zumba class, feel free to enter N/A in those sections.

 

Please ensure that ALL boxes are filled out before submitting the form.

 

Take special care when entering your EMAIL, as I won't be able to respond without the correct address!

​​