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Reindeer

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Health Declaration

Please fill out the following health declaration form in order to participate in our activity. Submissions are valid up to 24 hours prior to the activity.

First Name

Last Name

Email

My body temperature is lower than 98.6°F/ 37.5°C

Are you experiencing any flu symptoms?

No

Yes

Do you feel pain in your chest when you do physical activity?

No

Yes

Have your doctyor ever said you have a hight blodd preasure ?

Yes

No

Have you ever taken any madication to lower your blood preasure?

Yes

No

Date

Initials

I confirm that the information given in this form is true

Thanks for submitting!

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