Virtual Exercise Group Signup

1
Full Name* This field is required.
First Name
Last Name
2
E-mail* This field is required.
3
Mobile Number* This field is required.Text reminders for the class will be sent to this number.
Area Code
Phone Number
4
Class Options* This field is required.Choose which class(es) you'd like to register and pay for.
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My Order
0
My Order
Great Product Name
$20
Quantity:1
Size:Small
RemoveEdit
Great Product Name
$20
Quantity:1
Size:Small
RemoveEdit
Great Product Name
$20
Quantity:1
Size:Small
RemoveEdit
Great Product Name
$20
Quantity:1
Size:Small
RemoveEdit
ORDER SUMMARY
Total costUSD
Single Class - October 31
$20.00+Remove
Back
Single Class - November 2
$20.00+Remove
Back
Single Class - November 4
$20.00+Remove
Back
Single Class - November 7
$20.00+Remove
Back
Single Class - November 9
$20.00+Remove
Back
Single Class - November 11
$20.00+Remove
Back
Single Class - November 14
$20.00+Remove
Back
Total cost $0.00
First Name
Last Name
Credit Card Number
Security Code
Card Expiration
5
Will you be following along live?* This field is required.Monday & Saturday classes are live at 10am. Wednesday classes are pre-recorded for you to follow along with at your convenience.
Yes, I will be following along live.
No, I am unable to follow along live. Please send me the Zoom recordings after the class.
6
Browser
7
Unique Code
Should be Empty: