Virtual Exercise Group Signup

1
Full Name* This field is required.
First Name
Last Name
2
E-mail* This field is required.
example@example.com
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 - April 12
$20.00+Remove
Back
Single Class - April 14
$20.00+Remove
Back
Single Class - April 17
$20.00+Remove
Back
Single Class - April 19
$20.00+Remove
Back
Single Class - April 21
$20.00+Remove
Back
Single Class - April 24
$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.
No, I am purchasing this as a gift for someone else.
6
Gift Recipient's Name
First Name
Last Name
7
Gift Recipient's E-mailTo not spoil any surprises, we will not send the recipient an email until the day before the class to provide them with the Zoom link for the class(es) purchased.
example@example.com
8
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