Fire Pitch x JAM with Theresa Registration

Wellness & Wine Wednesday: JAM with Theresa x Fire Pitch

Join us on Wednesday, May 29 from 5-6 p.m. for a JAM dance fitness party at Fire Pitch.

Please email jamdancechicago@gmail.com if you have questions. Learn more about JAM dance fitness.

Name*

First NameLast Name

E-mail*

example@example.com

VENMO PAYMENT

Please SUBMIT YOUR PAYMENT HERE and enter JAM in the comments. Then, return to this form to complete your registration.

1 JAM dance fitness only ticket = $25

1 JAM dance fitness + glass of wine ticket = $35

Payment confirmation*

I confirm I submitted $25 for dance fitness only to the link above.I confirm I submitted $35 for dance fitness + glass of wine to the link above.

Please review our Liability and Photo & Video Release waiver. If you agree, select the button below and enter your full name and today's date.

Waiver acknowledgement*

I have read, understand, and agree to the terms of the Liability and Photo & Video Release waiver. (REQUIRED to attend a class)

JAM Dance Fitness classes are for adults 18 years of age or older.*

I confirm I/the attendee for which I'm registering is 18+ years of age.

Cancellation policy*

I understand I must cancel by emailing jamdancechicago@gmail.com at least 24 hours before the start of the event; otherwise, I will not receive a refund.

Entering your full name below serves as your signature for understanding & agreeing to the policies/waivers listed above.*

Today's date*

Date