Elite Online Registration

Elite Online Registration
Name *

First Name Last Name
Instagram *
@ighandle
Email *
example@example.com
Viber *

09** **** ***
Classes

Handstands and Arm balancing (Mon, 8pm) P250 Booty Camp (Tue, 8pm) P250 Conditioning for Aerial (Fri, 8pm) P250 Power Stretch - Flexibility Training (Sat, 8pm) P250 Power Abs (Sat, 6pm) P250 Vixen Sexy Flow - Dance (Sun, 8pm) P250
COMMIT TO BE FIT

Commit to be Fit 1 month promo P2,000
BACK TO BACK Back Bend Special (Flexibility Series)

P1,500 Week 1 & 2 (Oct 22, 25, 29 & Nov 2 -8:00PM) P1,500 Week 3 & 4 (Nov 5, 8, 12 & 15 - 8:00PM) Package Rate P2,200 (Oct 22,25,29,Nov 2, 5, 8, 12 & 15 - 8:00PM)
Vixen Sexy Workshop

Package Rate P1,900.00 (Oct 6, 13, 20 & 27 - 7:00PM) 3 Sessions P1,500.00 2 Sessions P1200.00 1 Session P600
Indicate dates for Vixen Sexy Workshop (for non-package)
Mode of Payment *

BDO ACCT NAME: Aneshka Beatrix S. Rellosa; ACCT NO. : 000251442772 BPI ACCT NAME: Katrine Joy Lapuz; ACCT NO. : 8069023186 GCASH ACCT NO. : 09178900757 PAYPAL : paypal.me/ELITEAERIALARTS
Is this your first time at Elite Aerial Arts? *

Yes No
How did you learn about Elite Online? *

Friends' posts in social media Elite Aerial Arts on Facebook Elite Aerial Arts on Instagram Instructor's posts
- Cut off time for registration and payment is three (3) hours before the scheduled online session. Proof of payment must be sent only to info@eliteaerialarts.com. We cannot acknowledge proof of payments sent directly to our teachers/instructors or to our social media pages.
Please follow the instructions carefully.
Forfeiture *

I agree that payment will be forefeited should I fail to attend the scheduled class for any reasons whatsoever
Non Transferrability *

I agree that slots are non-transferrable and classes can no longer be changed upon payment.
Proof of Payment *

I agree to send proof of payment only to info@eliteaerialarts.com. Elite Aerial Arts will not be faulted for failure to include me in the class list should proof be sent elsewhere other than at info@eliteaerialarts.com I understand that classes maay be cancelled due to unforeseeable circumstances such as intermittent connectivity, power interruptions, etc. and agree that the same be moved to another time or date whenever it is possible to best conduct the class.
Should be Empty:

Now create your own JotForm - It's free! Create your own JotForm