Returning Class Client Payment Only OR Order Form (Credit Card)

Student Name

First NameMiddle NameLast Name

Student E-mail

example@example.com

Mobile Number

Format: (000) 000-0000.

Block Therapy Tuesdays 9:00a.m. – 10:00a.m. ONLINE from the comfort of your homeBlock Therapy Wednesdays 5:00p.m. – 6:00p.m. In Person @ Jen’s 23159 Road 60 NorthStrength Training Wednesdays 7:00p.m. - 8:00p.m. In Person @ 425-5th Ave in OakvilleStrength Training Fridays 10:00a.m. - 11:00a.m. In Person @ Elie Community Club - 23 Main StBlock Therapy Fridays 12:00p.m. - 1:00p.m. In Person @ 425-5th Ave in OakvilleClass Recording Only - Can't make it but don't want to miss a class or want to do it at your own pace. (Sent after class with access for 1 week)Buying a Product below

Please indicate the Date you would like your pass to begin and/or any additional details (You can register for multiple classes at once; however when a pass is purchased an assumed schedule will be sent to you)

My Products

Block Buddy New

Used more frequently - for those >5ft

$145.00CAD Quantity
Item subtotal:$0.00CAD

Block Baby New

Smaller version of Block Buddy - for those <5ft or with smaller structures

$145.00CAD Quantity
Item subtotal:$0.00CAD

Block Buddy Student Rental

Rent a Student Block Buddy at a daily Rate to take home and use between classes, please choose quantity as days

$3.00CAD Quantity
Item subtotal:$0.00CAD

Block Baby & Buddy Bundle New

Block Baby & Block Buddy at a bundle price

$265.00CAD Quantity
Item subtotal:$0.00CAD

10mm Block Therapy Mat

thicker & wider than the average mat 10mm thick 66cm wide 180cm long

$60.00CAD Quantity
Item subtotal:$0.00CAD

$Exercise Bands Latex - 5 Pack Product Image$

Exercise Bands Latex - 5 Pack

5 Pack varying intensity resistance loop bands made of latex (subject to availability)

$15.00CAD Quantity
Item subtotal:$0.00CAD

Resistance Band Fabric - 1 Band

1 Fabric Resistance Band 15-20 lbs (subject to availability)

$10.00CAD Quantity
Item subtotal:$0.00CAD

1 Resistance Non-loop Band - Latex Free

24 - 30 lbs resistance (1 band) 5 feet in length - 75mm thick - 15cm wide (subject to availability) Non loop band

$5.00CAD Quantity
Item subtotal:$0.00CAD

IN PERSON - Single Block Therapy Class

Block Therapy Class

$20.00CAD Quantity
Item subtotal:$0.00CAD

ONLINE - Single Block Therapy Class

Block Therapy Class - Online live class

$15.00CAD Quantity
Item subtotal:$0.00CAD

5 Class Pass In Person Block Therapy

Block Therapy Class - Use for any Regular Public Block Therapy Class

$85.00CAD Quantity
Item subtotal:$0.00CAD

5 Class Pass ONLINE Block Therapy

Use for any Regular Online Block Therapy Class - Online live class

$68.00CAD Quantity
Item subtotal:$0.00CAD

10 Class Pass In Person Block Therapy

Block Therapy Class - Use for any Regular Public Block Therapy Class

$155.00CAD Quantity
Item subtotal:$0.00CAD

10 Class Pass ONLINE Block Therapy

Use for any Regular Online Block Therapy Class - Online live class

$124.00CAD Quantity
Item subtotal:$0.00CAD

5 Class Pass In Person Strength Training

Group Resistance Training - Use for any Regular Public Fitness Class

$55.00CAD Quantity
Item subtotal:$0.00CAD

5 Class Pass ONLINE Strength Training

Group Resistance Training - Use for any Regular ONLINE Public Fitness Class

$35.00CAD

10 Class Pass In Person Strength Training

Group Resistance Training - Use for any Regular Public Fitness Class

$100.00CAD Quantity
Item subtotal:$0.00CAD

10 Class Pass ONLINE Strength Training

Group Resistance Training - Use for any Regular ONLINE Public Fitness Class

$60.00CAD

Single Class Pass In Person Strength Training

Group Resistance Training - Use for any Regular Public Fitness Class

$12.00CAD

Single Class Pass ONLINE Strength Training

Group Resistance Training - Use for any Regular ONLINE Fitness Class

$8.00CAD

Class Recording Only

Can't make it but don't want to miss a class or want to do it at your own pace. Sent after class with access for 1 week. Please indicate which class date & Block Therapy or Fitness

$5.00CAD Quantity
Item subtotal:$0.00CAD

Total

$0.00CAD

Credit Card

Returning Client Registration & Payment Only Order Form

Credit Card