EmailMe Form - Bootcamp Registration Form

New Classes begin the first week of every month. You can join a class at any time!

Your Name *

Your Email Address *

Street Address *

City, State. Zip *

Phone (with area code, digits only) *

What is the best time for me to contact you? *

7am-9am

9am-5pm

5pm-8pm

Which impact level is best for you? *

Which class time is best for you? *

How do you prefer to pay for your classes? *

Are you currently exercising on a regular basis? *

Describe your current exercise routine: *

Are you now, or have you ever participated in a boot camp exercise class? *

Which boot camp / how recently:

What is your primary fitness goal? *

Do you have any health conditions that may limit your participation in class? Describe briefly here: *

Yes, I would like to receive your Email Newsletter.

Yes

Message / Comments:

How did you hear about us?

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