Nordic Walking Registration 2025

Full Name*

First NameLast Name

Phone Number*

E-mail*

example@example.com

Your age:*

What health concerns do you have that I should be aware of (state "none" if none)?*

How did you hear about this class/clinic/private lesson?

Payment options:*

E-transfer: Submit this form. Then go to your own banking page and etransfer to bgormley@rogers.comCheque: Submit this form. Then mail a cheque to Barb Gormley, CustomFit, 525 Logan Ave, Suite 103, Toronto, ON, M4K 3B3.

What are you registering for?*

Quick-Start Clinic, Saturday, Sept. 13, 11:00am-12:15pm, Mount Pleasant Cemetery, $44.07 (includes HST)Level 1 & 2 Nordic walking class, Saturday, Sept. 13 - Dec. 20, 9:30-10:30am, Mount Pleasant Cemetery, $261.03 (includes HST)Level 1 & 2 Nordic walking class, Tuesday, Sept. 16-Dec. 23, 9:30-10:30am, Mount Pleasant Cemetery, $242.39 (includes HST)Private Nordic walking class, $96.05 (includes HST)

I understand that I am participating in this physical activity program entirely at my own risk. I assume full responsibility for any and all injuries, losses and damages that I incur while attending, exercising or participating with Barb Gormley/CustomFit. I waive all claims against Barb Gormley/CustomFit, its instructors, or partners individually or otherwise, for any and all injuries, claims or damages that I might incur.
I understand that there are no refunds for purchased classes and no transfer of missed classes to a future session. (Thank you for your understanding.)
I understand that I am welcome to make up any missed Saturday classes on Tuesday and any missed Tuesday classes on Saturday.

Signature

If there's anything you'd like to tell me about yourself or ask me, please note it here!