Fitness Class Registration Form

Fit With Sandy – Online Fitness Program Registration

Welcome to Sri Lanka’s top female-only, bodyweight fitness program led by Sandy – All-Island Fitness Champion! Please fill out the details below to reserve your spot. You’ll receive a confirmation with payment steps shortly.
Name*

First NameLast Name
Email*
example@example.com
Address*

Street Address

Street Address Line 2

CityState

Zip CodeCountry
Mobile Number (with WhatsApp)*

Country CodePhone Number
Date of Birth*

MonthDayYear
Date

Medical Information
YesNo
If yes, please provide details below.
Any allergic reaction to medicines (e.g. aspirin, penicillin, etc.)?
Please provide and explain.
Are you currently taking any prescribed medications?
Are you currently taking any prescribed medications?
Please provide the details and frequency of dosages. Enter N/A if none
Are you experiencing any epileptic seizures?
Do you have Diabetes?
Have you had any operation in the last two years?
Please specify, which operation have you had?

Online Home Workout Plan – Terms & Conditions

By enrolling in this online workout program, I acknowledge and agree to the following:
Please confirm you have read and understood the following:
Should be Empty:

Fit With Sandy – Online Fitness Program Registration