Membership form

Membership form

Please fill out the following information to apply for Personal training Bonaire.
Full Name

First NameLast Name
Email Address
example@example.com
Phone Number
Please enter a valid phone number.
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Memberships

Kickboxing 1x per weekPersonal training 1x per weekCircuit training 2x per weekPersonal training 2x per weekAdditional trainingPersonal training 3x per week
Monthly membership
Kickboxing $75 ($55 for members)
Circuit training $45
Additional training $150
10 ride ticket $75

1x Personal training $216
2x Personal training $390
3x Personal training $520

1 month    3 month   6 months

Signature
Should be Empty: