Wombercise Registration Form

Wombercise Registration for 2025

Complete the form below to sign up for our group session.
Name*

First NameLast Name
E-mail*
Phone Number*

Area CodePhone Number
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Birth Date*

MonthDayYear
Where did you hear about us?*

GoogleA Friend or colleaugeBlog PostFacebookInstagramOther
Type*

Solo Class ($35.00+ hst)3 Pack ($90.00+ hst- $15 savings)5 Pack ($125.00 + hst - $50 savings)1 Class and 1 Womb healing session ($115.00 +hst - $31 savings)
Date you will be attending*

November 9th 1:30pm - 2:30pmDecember 14th 1:30pm - 2:30pm
Preferred way to contact*

Phone CallTextAny
Wombercise Group Session Guidelines
Group sessions are available to anyone 18 years of age or older.

Medical Conditions & Safety

Please inform me of any medical conditions, injuries, recent surgeries, or concerns before participating in the session. This ensures I can guide you in a way that supports your body and well-being.

Participation is always at your own comfort level. You are encouraged to rest, modify, or step back at any time.

Disclaimer

By joining a Wombercise session, you acknowledge that you are responsible for your own health and safety.

Neither myself (Candice White), Sudbury Reiki Clinic, nor Connected Living are liable for any injury, condition, or complication that may arise during or after participation.

Respect & Space

This is a sacred, supportive environment. Please arrive with respect for yourself, others, and the shared space.
I have read, understood, and accepted the guidelines.
Privacy Policy
Visit www.sudburyreiki.ca for privacy Policy
I have read, understood, and accepted the PRIVACY POLICY.

Payment*

Solo Class

$35.00CAD Quantity
Item subtotal:$0.00CAD

3 Pack Wombercise

$90.00CAD Quantity
Item subtotal:$0.00CAD

5 Pack Wombercise

$125.00CAD Quantity
Item subtotal:$0.00CAD

1 Class and 1 Womb Healing Session

$115.00CAD Quantity
Item subtotal:$0.00CAD

Subtotal

$0.00CAD

Tax

$0.00CAD

Total

$0.00CAD

Payment Methods

Credit Card

Google Pay

Afterpay

If you have any queations please don't hesitate to contact me 249-360-3324

Thank you!
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Wombercise Registration for 2025

Wombercise Group Session Guidelines

Privacy Policy

Payment Methods