Class Registration

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Email
example@example.com
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Select Class TypeCardio Drumming Classes Thursday at 6:30 pm Cardio Step Classes are Tuesday’s at 6:30 pm and Saturday’s at 8:00 am
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Please Select
Cardio Drumming
Cardio Step
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Cardio Drumming Class* This field is required.
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Cardio Step Class* This field is required.
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CLASS WAIVER* This field is required.Acknowledgement, Waiver and Release from Liability Form I ACKNOWLEDGE AND HEREBY ASSUME THE RISKS OF PARTICIPATING IN CARDIO DRUMMING (CARDIO/TONE). I understand this fitness class may be a test of a person’s physical and mental limits and carries with it the potential for death, serious injury, and property loss. I certify that I am physically fit, have sufficiently trained and prepared by hydrating and fueling my daily intake of nutrition for the day for participating for this class, and have not been advised otherwise by a qualified medical person. I hereby take action or myself, my executors, administrators, heirs, next of kin, successors and assigns as follows: 1) WAIVE, RELEASE, DISCHARGE AND AGREE NOT TO SUE, from any and all liability for my death, disability, personal injury, property damage, property theft or action of any kind which may hereafter occur to me as a result of my participation in, or my traveling to or from this class THE FOLLOWING PERSONS OR ENTITIES: wellness coaches, fitness instructors of All ABOUT U NUTRITION and all cities, counties, districts and/or states in which the class is held or in which segments of said classes may be run. 2) INDEMNIFY AND HOLD HARMLESS the persons or entities mentioned in this paragraph from any and all liabilities or claims made by other individuals or entities as a result of any of my actions during CARDIO STEP. I hereby consent to receive treatment in the event of my injury, accident and /or illness during this class.
YESNO
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Is this your first time attending this class?* This field is required.
YESNO
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How did you hear about us?
Social Media
Google
Friend
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Who referred you?
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Name* This field is required.
First Name
Last Name
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Phone Number* This field is required.
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Are you bringing your own equipment?* This field is required.
YESNO
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Select Shake
Shake
Please Select
Shake
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Choose Shake or Tea
Shake
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Shake
Tea
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Select Your Shake Flavor
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Please Select
Banana Caramel
Caramel Macchiato
Caramel Toffee
Dutch Chocolate
Mint Chocolate
Peanut Butter Bomb
Rebuild
Strawberry Cheesecake
Vanilla
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Select Your Tea Flavor
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Please Select
Breezer
Captain America
Tropical Paradise
Watermelon Cooler
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Personal Request or Message
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My Products* This field is required.
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ORDER SUMMARY
Total costUSD
Cardio Step / cardio Drumming Class
$13.00Edit
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