Toposphere Aerial Studio - Registration Form

What's your name?*

First NameLast Name

Birth Date*

DayMonthYear

Email*

example@example.com

Phone Number*

Here are the classes offered by Toposphere. Please select all the classes you are registering for: (please note that there will be some changes to the classes as from December 2024)*

Mon 7.15-8pm: Pole Flow (All levels - Studio 1)Mon 8-8.45pm: Pole Heels (All levels - Studio 1)Thu 5.45-6.30pm: Contortion101 (All levels-Studio 2)Thu 6.45-7.30pm: Pole Fitness (Level 2&3 - Studio 1)Thu 7.30-8.15pm: Pole Fitness (Level 1 - Studio 1)Sat 8-8.45am: Pole Flow (All Levels - Studio 1)Sat 8.45-9.30am: Flexibility (All levels - Studio 2)

Experience Level

BeginnerIntermediateAdvanced

Do you have any medical conditions that Toposphere Aerial Studio should know about?

YesNoIf yes, please specify.

There are other classes at Toposphere Aerial Studio. If you are interested in joining them, please contact:

Mama Glow (Pre-post natal fitness) - Anastasia (Tel: 5428 4572)

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Payment details

Name: Toposphere Ltd

Account Number: 000450946916

Bank: MCB Ltd

Ref: Name + "Membership"

Eg: Jane Doe Membership

Once payment is confirmed, you will receive the member's login via email.

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