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Event Consultation Form

You must complete this form if any of the following are true:

  • You have not completed in the last 12 months

  • Any details need updating

  • Any medical history has changed

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You must complete the form if you want to attend any of our events

Birthday
Day
Month
Year
Are you in the 1st trimester of pregnancy?
Yes
No
Have you had a brain injury?
Yes
No
Do you have epilepsy?
Yes
No
Do you have any severe heart conditions?
Yes
No
Do you have any severe, clinical mental health conditions?
Yes
No
Do you have any biomedical devices sucha as metal plates, pace maker or cochlear implants?
Yes
No
Do you have any allergies?
Yes
No
Would you like to hear about Parsley Spa updates or promotions?
Yes
No
How did you hear about us?
Leaflet or flyer
Google search
Blog (any platform)
Sevenoaks Mums
Instagram
Facebook
Word of mouth
Other

We'll send it to you within 48 hours.

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