Emily's 4TFM class registration

4TFM class registration

Instructor: Emily Wannenburg emily@4tfm.com cell:336-813-0223
Welcome to Memmys Mommas™ and our 4TFM classes. You're gonna love these classes and I can't wait to meet you.

Let me know if you have any issues with payment process.

My Products*

Knoxville Postpartum Recovery® Tuesdays June 16th to July 21st 9:30-10:45 AM EST

A 6 weeks Mommy and Me series held each week on Tuesdays. Location will be shared in the Registrants Facebook group. Postpartum moms and babies may start as early as 10 days post vaginal birth and 4-6 weeks post cesarean birth.

$175.00

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Total

$0.00

Your Name*

First NameLast Name
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Cell for texts regarding class info*
Format: (000) 000-0000.
E-mail*
example@example.com
For Postpartum Recovery®, what is your baby's name and DOB?*

Your baby's nameDOB
For Prep4Partner: What is your partner's name?

First NameLast Name
Whom may I thank for referring you to my classes?*
Anything specific that you would like for me to know? Did you have a vaginal or cesarean birth? Perineal tearing or other birth related experience that you want me to know about?
Waiver and Photo release

I understand that physical exercise can be strenuous and there is inherent risk in participating in any exercise program. I agree to assume those risks personally and hereby release 4th Trimester Fitness® LLC, its members, managers, employees, agents, representatives and instructors (the “Released Parties”) from any and all claims or liability, loss or expense for any injury or discomfort I or my baby may sustain as a result of my participation in this program. I understand that I am not required to participate in any or all of the body movements demonstrated by the 4th Trimester Fitness® LLC instructor, and that nothing we do in class should ever be painful. I represent that I have consulted with my physician before participating in this activity. I understand that this is a group fitness or childbirth education class, that the Released Parties are not providing physical therapy or medical services, advice or treatment, and that the Released Parties are not acting as my physician, physical therapist, or one-on-one personal trainer. I give permission for photographs taken of me and my baby while participating in the class to be used in social media and marketing/public relations materials in the promotion of 4th Trimester Fitness® LLC and its classes. At any time during class, I can let the instructor know that I prefer not to be photographed.
Your signature*
Partner's signature, if attending Prep4Partner
Should be Empty:

4TFM class registration

Waiver and Photo release