Bootcamp Online Registration
Bodycircuit Bootcamp Registration

  Name:
  Address:
  City:
  Postal Code:
  Phone Number:
  Date of Birth:
  I am signing up for this session:
  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:  1 session per week $99
 2 sessions per week $149
 3 sessions per week $169
 10 session Flexpass (2month expiry)$159
  I am interested in these times:  5:50 AM(Fleetwood)
 9:15 AM(Fleetwood)
 600PM(Fleetwood)
 700PM(Fitness Challenge)
  What is your profession:

Please click on the Submit button to submit the form details.
   
 

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