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Covid-19 Health Declaration

How are you feeling today?

I have recieved a Covid 19 vaccination. Please send proof of vaccination to laurie@northsidecenter.net. You only need to send proof one time for your first in person class.

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

I am not experiencing the symptoms: fever, cough, sore throat

I haven’t been in close contact with someone with Covid-19 in the last 10 days

Name

Date

I atttest that the info I’ve provided is accurate & complete

Thanks for helping to keep our yoga community safe and healthy!

NCE Wellness

4151 Thomas Avenue N

Minneapolis, MN 55412

The Yoga Room

4153 Thomas Avenue N Minneapolis MN

55412

Phone 612-310-8683

Fax 651-925-0441

Contact:info@northsidecenter.net

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