Online Fitness Class Registration

Fitness Class Registration Form
Mat Pilates
Day - Tuesdays
Time - 12 pm
Equipment - Mat & Light Dumbbells

Mat Pilates
Day - Thurdays
Time - 6:15 am
Equipment - Mat & Light Dumbbells

Tighten & Tone
Date - Wednesdays
Time - 6 pm
Equipment - Resistance Bands & Dumbbells
Your Information
Name*

First NameLast Name
Age*
Gender*

MaleFemale
Phone Number*
Email*
example@example.com
Where are you joining from?*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
How do you learn about this online fitness class?*

FacebookTwitterInstagramYouTubeSearch EngineOnline AdsReferralOther
Payment & Confirmation

Online Classes*

Mat Pilates 12 pmTuesdays 12 pm

$10.00 Quantity

Mat Pilates 6:15 amThursdays 6:15 am

$10.00 Quantity

Tighten & Tone 6 pmWednesdays 6 pm

$10.00 Quantity

Total

$0.00

Credit Card

ACH Bank Transfer

Fitness Class Registration Form