24 hour challenge Participant Registration Form

1
Full Name* This field is required.
First Name
Last Name
2
Phone Number * This field is required.
3
E-mail
4
Are you a member of In Balance Fitness?* This field is required.
YESNO
5
Are you a member of a team?* This field is required.
YESNO
6
Would you like us to place you into a team?* This field is required.The team leader will contact you once informed.
YESNO
7
Is there a particular instructor you would like to join the team of?* This field is required.
YESNO
8
Please tell us the Instructor's team or the Member's team that you would like to join.
9
My ProductsRegistration Fee for the 24HR Group Fitness Challenge
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My Bag
0
My Bag
Great Product Name
$20
Quantity:1
Size:Small
RemoveEdit
Great Product Name
$20
Quantity:1
Size:Small
RemoveEdit
Great Product Name
$20
Quantity:1
Size:Small
RemoveEdit
Great Product Name
$20
Quantity:1
Size:Small
RemoveEdit
ORDER SUMMARY
Total costAUD
Registration Fee2% card fee applies.Alternatively, you can pay CASH in Club prior to the event.
$15.30AUDEdit
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Cash in ClubI will pay $15 cash in club prior to the event. CLICK ON
$FreeAUDEdit
Back
Total cost $0.00AUD
Credit Card
First Name
Last Name
10
PLEASE NOTE: Upon completing your registration, you will be redirected to sign a waiver form. This is required for entry into the challenge.

If you are a non-member participating outside of 'normal opening hours,' please collect an access pass for entry the week of the event.

We greatly appreciate your participation in our event. Have fun!
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