4TFM Class Registration Form

4TFM Class Registration Form

Instructor: Corri Martella corri.4tfm.instructor@gmail.com (559)972-7200
Name

First NameLast Name
Cell phone # for texting
Please enter a valid phone number.Format: (000) 000-0000.
Email
example@example.com
May I share with you information about other classes you may be interested in?
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
How did you hear about 4TFM classes?
For Birth Ball Basics™ registration, when is your due date and where are you having your baby?

Due DateWhere are you having your baby?
For Postpartum Recovery® Fitness registration, what is your baby's name and birthday?

Baby's nameBirthday
Waiver: I understand that physical exercise can be strenuous and there is inherent risk in participating in any exercise program. I agree to assume those risks personally and hereby release 4th Trimester Fitness® LLC, its members, managers, employees, agents, representatives and instructors (the “Released Parties”) from any and all claims or liability, loss or expense for any injury or discomfort I or my baby may sustain as a result of my participation in this program. I understand that I am not required to participate in any or all of the body movements demonstrated by the 4th Trimester Fitness® LLC instructor, and that nothing we do in class should ever be painful. I represent that I have consulted with my physician before participating in this activity. I understand that this is a group fitness class, that the Released Parties are not providing physical therapy or medical services, advice or treatment, and that the Released Parties are not acting as my physician, physical therapist, or one-on-one personal trainer. I give permission for photographs taken of me while participating in the class to be used in social media and marketing/public relations materials in the promotion of 4th Trimester Fitness® LLC and its classes. At any time during class, I can let the instructor know that I prefer not to be photographed.

My Products

September 16th, 2023 Birth Ball Clinic 10am - 1pm

A special class In-person at Haven for Birth in Sacramento, CA

$75.00 Quantity

Sept 23rd, 2023 Birth Ball Clinic 10am - 1pm

Online via Zoom!

$110.00 Quantity

November TBD, 2023 Birth Ball Clinic 10am-1pm

In-person at St. Joseph's Medical Center in Stockton, CA

$120.00 Quantity

Birth Ball Private Clinic

1-1 Private 3 hour Class!

$247.00 Quantity

Enter coupon

Total

Credit Card

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