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*Please fill in all required fields Personal Information:
Name*:
Last Name*:
Address*:
City*:
Province*:
Postal Code:
Phone*:
Email*:
Date of Birth*:
Gender*:	MaleFemale
How did you find out about Complete Fitness Bootcamp::
I would rate my current Fitness Level (1-4 BEG, 4-6 INT, 7-10 ADV)*:	12345678910
* Emergency Information:
Emergency Contact*:
Emergency Phone*:
Relationship:
Care Card*:
Program Time and Levels: (please check the appropriate space)
Monday/Wednesday/Thursday:	Beginner | 6:00-7:00 PM (Cedar Hill Rec Center) (I rated my current fitness level as a 1 to a 4) Advanced | 7:15-8:15 pM (Cedar Hill Rec Center) (I rated my current fitness level as 6 or higher)
Tuesday/Thursday/Saturday:	Intermediate 9:30-10:30 AM (Elk lake/Beaver lake) (I rated my current fitness level at a 3 to a 7) Intermediate 9:30-10:30 (Topaz Park) (I rated my current fitness level as a 3 to a 7)
Date Registering For:*:
Please Select Fitness Package (plus GST)       Price
Package Details*:	4 week membership $170.00 CAD 8 week membership total $306.00 CAD 12 week membership total $433.50 CAD 10 session punch card $150.00 20 session punch card $275.00 Group Package (4 or more)/month $145.00 Private Group Package (4 or more)/month $165.00 Drop-In $15.00 Free Trial Class Promo Offer $99.00 CAD
*Private group sessions available in day time hours if desired. Group Package members:
I am joining with a friend, I would like to receive $15.00 off package of choice.:	YesNo
If Yes, Name of friend::
Payment Options
Please make cheques payable to Complete Fitness Boot Camp and bring cheque or cash on first official day. *Not needed for free trial day
Payment Type*:	Paypal (Credit Card) Cash Cheque
please bring signed copy of PARQ Form and Waiver form to first session You will be required to bring a yoga mat, hand weights and exercise ball. All other equipment will be provided.
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