Participant Form

Before attending a Revive Wellness Club session, we ask all participants to complete this form. It helps us ensure the safety of the participant is the first priority.

Completing this form ensures a safe, supportive, and professional experience for everyone. Your responses are confidential and only used for the purposes outlined.

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A woman sitting in a black tub on a sandy beach during wellness event, with a banner that reads 'Rebelle wellness club', and people around in swimsuits, some standing and some sitting, under a sunny sky.

A group of people at the beach participating in a wellness event by refresh wellness club, with one woman in the foreground sitting in a black plastic tub, wearing sunglasses and a black swimsuit, surrounded by sand, beach towels, and others standing in the background.

Several people lying on towels and blankets at a sunny beach, relaxing with some wearing headphones.