Organic Strength- Outdoor Movement Class
Registration Form
Student Name
*
First Name
Middle Name
Last Name
Birth Date
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Address
*
Street Address
Street Address Line 2
City
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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 up
Chin up
Push up
Deep Squat
Lunge
Balance on one leg for 30 seconds
None of the above
Select the classes you'd like to attend by clicking the little box located on the left of class date
*
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Organic Strength- May 28th
$
20.00
CAD
Quantity
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Organic Strength- June 4th
$
20.00
CAD
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Organic Strength- June 11th
$
20.00
CAD
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Organic Strength- June 18th
$
20.00
CAD
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Organic Strength- June 25th
$
20.00
CAD
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Organic Strength- July 2nd
$
20.00
CAD
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Credit Card Details
First Name
Last Name
Credit Card Number
Security Code
Card Expiration
Class Attendance Checklist
*
I will wear loose fitting or stretchy clothing to allow for free movement of my body
I 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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