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Health Declaration

Please fill out the following form
in order to participate in our activity.

Have you been hospitalized in the last 12 months?
Are you suffering from a medical condition, illness, or injury?

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Growing Roots

6203 North Capital of Texas Hwy

Suite 450

Austin, TX 78731

Contact

info@growingrootsatx.com

(512) 505-8525

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