4TFM class registration
Instructor: Kristen Young, MBA, EdS, ICBD, 4TFM kristen@youngbirth.com (865)-202-2545
Name
*
First Name
Last Name
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Cell for texts
*
E-mail
*
example@example.com
For Prep4Birth and Prep4Partner, when is your due date and where are you having your baby?
*
Due Date
Where are you having your baby?
Whom may I thank for referring you to my classes?
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.
Your Signature
*
Your Support Partner's Signature
*
Categories:
All
All
Prep4Birth™
Prep4Partner™
prev
next
( X )
Prep4Birth™
Prep4Birth™ October 5th 2 pm - 5 pm
Held in Maryville, TN
$
150.00
Prep4Birth™ Gift Card
A gift for your pregnant friend or family member! To be used within 9 months of purchase.
$
150.00
Prep4Birth™ January 18th 2 pm - 5 pm
Held in Maryville, TN
$
150.00
Prep4Partner™
Prep4Partner™ October 12th 1-5 pm
Held in Maryville, TN
$
200.00
Prep4Partner™ November 23rd 1-5 pm
Held in Maryville, TN
$
200.00
Prep4Partner™ December 21st 1-5 pm
Held in Maryville, TN
$
200.00
Prep4Partner™ January 25th 1-5 pm
Held in Maryville, TN
$
200.00
Prep4Partner™ February 15th 1-5 pm
Held in Maryville, TN
$
200.00
Prep4Partner™ March 15th 1-5 pm
Held in Maryville, TN
$
200.00
Prep4Partner™ Gift Card
A gift for your pregnant friend or family member! To be used within 9 months of purchase.
$
200.00
Prep4Partner™ Private Class
A private class (1-2 couples), held at a location/date/time of mutual convenience. Expires 9 months from date of purchase.
$
500.00
Payment Methods
Choose from one of the PayPal options to
make your payment.
Submit
Should be Empty: