Beyond Limits Class Registration Form

CURRENT PROGRAMS & LOCATIONS

WEDNESDAY: @ New Horizons in Autism, Freehold

4:15-5:00 - Creative Movement

5:00-5:45 - Creative Movement

5:15-6:00 - Aqua Fitness

Join us for either 45 min session ($160/mo w/ budget, $140 private pay)

Bundle Movement & Aqua ($245/mo w/ budget, $225 private pay)

THURSDAY: @ Toms River Fitness

5:30-6:15 Aqua Fitness

6:30-7:15 Creative Movement

Join us for either 45 min session ($160/mo w/ budget, $140 private pay)

Bundle Movement & Aqua ($245/mo w/ budget, $225 private pay)

SATURDAY is for the Kids: @ NEW HORIZONS in Autism, Freehold

11:30-12:15 Ages 5-8

12:30-1:15 Ages 9-13

Join us for either 45 minute session $140/mo

*Registration below must be completed - clicking submit below will redirect you to the secure payment portal

*CREATIVE MOVEMENT DEFINED: A full body experience including stretch, dance, yoga, fitness... & FUN! Participants will be a part of an adaptive creative environment built to fit every ability.

Beyond Limits focuses on self confidence & body awareness while fostering friendships in a judgement free space.

List desired classes/times or questions/comments (optional):

Participant Name*

First NameLast Name

Caregiver Name*

First NameLast Name

Relationship to Participant

Participant Age 16yrs+ (Additional Programs for all ages coming soon)*

T-Shirt Size (no kids at this time)

SmallMediumLargeXL

Phone Number*

Email*

example@example.com

Monthly Packages - Introductory pricing - Classes/availability may change. NJ DDD Goods & Services Approved Vendor

Creative Movement or Aqua 45 min - $160.00 DDD PAY *Contact support coordinator Private Pay $140 via our Secure Payment PortalCreative Movement/Aqua Bundle - $245.00 DDD Pay *Contact support coordinator Private Pay $225 via our Secure Payment PortalDrop-in - $40.00/sessionFree Trial - $0.00SATURDAY KIDS - $140/month

To make a SECURE payment now CLICK HERE (opens new window)

Or you will also be automatically directed to BeyondLimitsNJ.com after submitting this form for more info or to make a payment there.

Parent/guardian or Caregiver Signature Only*

Date Signed*

Date

Thank you for your interest in Beyond Limits! Due to overwhelming demand we are currently offering introductory classes/pricing only. Future classes, dates/times, terms & conditions & pricing will be updated and/or subject to change as we fine tune programs & availability. We are a proud NJ DDD Goods & Services Approved Vendor. All registrations/purchases are final. Makeup classes may be available based on availability.

If you have any questions, please email or call us using the details below:

Beyond Limits ...A Creative Movement

732-895-5178 call/text

Email: info@beyondlimitsnj.com Web: https://beyondlimitsnj.com

YOU WILL BE REDIRECTED TO THE BEYOND LIMITS SECURE PAYMENT PORTAL AFTER CLICKING "SUBMIT" BELOW