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FOUNTAINS DAY SPA MASSAGE INTAKEName: Date: Male/ Female Date of Birth: Occupation: Are you pregnant? Yes / no If yes, when are you due? Have you had surgery before? Yes / no If yes, please describe:
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How to fill out name date male female

01
To fill out name, simply enter your full name in the appropriate field.
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To fill out date, enter your birth date in the format DD/MM/YYYY.
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To select male, check the box or option labeled 'Male'.
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To select female, check the box or option labeled 'Female'.

Who needs name date male female?

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Anyone who is required to provide their personal information may need to fill out name, date, male, and female fields. This can include individuals filling out forms for registration, applications, legal documents, surveys, or any situation where personal identification or demographic information is necessary.

What is Name: Date: Male/ Female Form?

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Instructions for the form Name: Date: Male/ Female

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