Course Registration Form

Body and Soul Fit Registration Form

Fill out the form to register: Classes scheduled for 2/20, 2/27, 3/6, 3/20, 3/27. Doors open at 5:15am, class starts promptly at 5:30am and will end at 6:15am. Bring a yoga mat and small towel, water bottle, and gym shoes. Contact Natalie Kamtz at (402)659-3377 or nmkamtz@gmail.com with additional questions. All parishioners and non-parishioners are welcome.
Participant Name

First NameLast Name
Birth Date

MonthDayYear
Gender
Participant E-mail
example@example.com
Mobile Number
Format: (000) 000-0000.
Phone Number
Format: (000) 000-0000.
Work Number
Format: (000) 000-0000.
Additional Comments
Please List Anything the instructor should be aware of
Are you a parishioner at SMM?
Do you have ay significant health concerns or prior injuries that the instructor should be aware of?
If Yes please describe below:
Should be Empty:

Body and Soul Fit Registration Form