Beyond Limits Class Registration Form

Beyond Limits Class Registration Form
CURRENT PROGRAMS & LOCATIONS

WEDNESDAY: @ New Horizons in Autism, Freehold

4:45-5:30 - Creative Movement

*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.
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 or Direct Pay Options Available!

Creative MovementFree Trial
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*

Clear
Date Signed*

MonthDayYear
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
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