Clone of Adult Fitness Registration

1
First & Last Name* This field is required.
First Name
Last Name
2
Email Address* This field is required.
example@example.com
3
Phone Number* This field is required.
Please enter a valid phone number.
4
Training Selection* This field is required.Please Select Your Session Plan
1x - 30 Minute Session ($40)
1x - 60 Minute Session ($80)
5x - 30 Minute Sessions ($175)
5x - 60 minute Sessions ($375)
5
Personal Training Program Selection* This field is required.Please note that card processing fees are included in the total.
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$20
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$20
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Size:Small
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Great Product Name
$20
Quantity:1
Size:Small
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Great Product Name
$20
Quantity:1
Size:Small
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ORDER SUMMARY
Total costUSD
1x - 30 Minute Session
1x 30 Minute Personal Training Session- Contact Coach Taylor Kudym to schedule session(s).
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1x - 60 Minute Session
1x 60 Minute Personal Training Session  - Contact Coach Taylor Kudym to schedule session(s).
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5x - 30 Minute Sessions
5x 30 Minute Personal Training Session  - Contact Coach Taylor Kudym to schedule session(s).
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5x - 60 Minute Sessions
5x 60 Minute Personal Training Session  - Contact Coach Taylor Kudym to schedule session(s).
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Enter Coupon
Total cost
Credit Card
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Last Name
Credit Card Number
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February
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May
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Expiration Month
2026
2026
2027
2028
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2030
2031
2032
2033
2034
2035
2036
2037
2038
2039
2040
Expiration Year
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Street Address
Street Address Line 2
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6
Terms & Conditions + Liability Waiver* This field is required.It is understood that I (signature below) am agreeing to pay ‘Coach Greyson Inc.’ the total contractual amount programs, workouts, training sessions. Payment must be arranged & submitted by or before the program or training session I am participating in. After confirming the selected program/session and payment is arranged, there will be no refunds. I (signature below) am granting full permission for myself to participate in the workouts/training sessions. Personal Training sessions must be utilized within 45 days from when purchased. I fully understand that should any major medical issue or accident occur during training or workouts that the strength & conditioning staff will be notified. In addition to this liability, I am giving the strength & conditioning staff release of all claims on account of any injuries which may accidentally occur during the selected program. I am fully aware of the risks involved with resistance training & conditioning, plus the use of the gym and/or their equipment. I am aware and acknowledge such risk on behalf of myself while undergoing the selected program. I also agree to indemnify ‘Coach Greyson Inc.’ and its staff of any claims, from here on may be presented to me as a result of any injury. I also am granting the strength & conditioning staff the use of photography and videography of me for marketing/advertising/other commercial uses, while also utilizing it as a valuable coaching tool. This in entirety admits all qualified applicable participants without regard to sexual orientation, race, disability, or religion. I am fully aware of all that is stated above and will certify my understanding by authorizing with my signature below.
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