EmailMe Form - Winter 2018 Strong Women 8 a.m. Session

EmailMeForm

Name *
First Last
Home Phone
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Email *
Mobile Phone
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Address *

Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country / Region
Class fee is $50/10 weeks (20 sessions). Please indicate below if you are interested in hearing more about available tuition assistance.
How Did You First Hear About This Class? *
Flier
TLNA Newsletter
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Other:
This class will be offered every Tuesday and Thursday from 8-9 a.m. To make the most of this class, we ask that every participant commit to attending at least half of the class sessions.

Informed Consent and Hold Harmless/Release Agreement:
I understand that participation in exercise activities involves a certain degree of risk. I have carefully considered the risk involved and I understand that participation in these activities is entirely voluntary. I understand that class participants will be shown multiple modifications for each exercise and that only I know best which modifications will be the safest for me. I understand this class is not about competition and that all participants should strive to comfortably self-challenge while exercising at the level appropriate to each individual's skill set and health. By printing my name below, I release the Wil-‐Mar Neighborhood Center and Lauren Cnare from any and all claims of liability arising out of my participation in this class. Photos may be taken during a session and I allow these to be used for educational and marketing purposes. *
I have read and agree to the above statement.
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