Course Registration Form

Organic Strength- Outdoor Movement Class

Registration Form
Student Name*

First NameMiddle NameLast Name
Birth Date

MonthDayYear
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Student E-mail*
example@example.com
Mobile Number*
Emergency Phone number*
Emergency contact*
Do you have any injuries or health issues that I need to know about?*
What is your movement experience? How often do you exercise?*
Which of the following movements are you able to do?*

Pull upChin upPush upDeep SquatLungeBalance on one leg for 30 secondsNone of the above

Select the classes you'd like to attend by clicking the little box located on the left of class date *

Organic Strength- May 28th

$20.00CAD Quantity

Organic Strength- June 4th

$20.00CAD Quantity

Organic Strength- June 11th

$20.00CAD Quantity

Organic Strength- June 18th

$20.00CAD Quantity

Organic Strength- June 25th

$20.00CAD Quantity

Organic Strength- July 2nd

$20.00CAD Quantity

Total

$0.00CAD

Class Attendance Checklist*

I will wear loose fitting or stretchy clothing to allow for free movement of my bodyI will wear shoes that are appropriate for movement ( minimal or barefoot shoes are ideal)I will show up on time and stay for the entire class ( 6:50am )I will bring good vibes and be ready to try new things that may be outside my comfort zone
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Organic Strength- Outdoor Movement Class