I, First Name* Last Name*
Rep I.D Rep I.D*
Cell#:  Phone Number*  
Email:  Email*
City/State:  Current*  
Trainer:  Direct Trainer*           
would like to register for class on the dates and times listed below.
Saturday@9am to 1pm (MST) on day of  11/02/24 &
Tuesday@7:30pm to 9:30PM on day of 11/05/24

I'm excited to attend and complete class. Thank you!