Bootcamp Online Registration
Bodycircuit Bootcamp Registration
Name:
Address:
City:
Postal Code:
Phone Number:
Date of Birth:
I am signing up for this session:
January 4- January 29 2010
Febuary 1-26 2010
March 1-26 2010
March 29-April 23 2010
April 26- May 21 2010
May 24-June 18 2010
June 21- July 23 2010
August 2- August 27 2010
September 6- October 1 2010
October 4-October 29 2010
November 1- November 26 2010
November 29- December 10 2010 (2 week camp)
Is this your first bootcamp:
Yes
No
Emergency Contact and Phone Number:
Primary Email Address:
What is your current fitness level(1-10):
What is your main goal:
How did you hear about us?:
friend
internet
other
I would like to participate in:
2 sessions per week $139
3 sessions per week $159
10 session Flexpass (2month expiry)$149
I am interested in these times:
5:50 AM
9:15 AM
6:00 PM
What is your profession:
Please click on the Submit button to submit the form details.
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