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Workout warrior registration


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Workout warrior registration

  1. 1. Workout Warrior Registration AFLCA Certified Instructor: Loretta King (790)490-0311 or (780)965-4028 Registration: Name: _____________________ Phone: ________________________ Email: ___________________________ Emergency Contact:__________________________ Birthday: ________________________________ What are your expectations of the group? ____________________________________________________________ ____________________________________________________________ ____________________________________________________________ _________________________________________________________ Would you like to register for: 10 classes for $60 _____ Monday or Thursday ___ Babysitting? ____ Both Monday and Thursday $120_____ Drop in $8 per class _____ Risk of Injury to Participants: I understand that participation in any physical activity involves inherent risk and that even when safety precautions are utilized, injuries can occur. I also understand that if I experience unusual pain or physical discomfort during participation in any activity, I will decrease or stop exercising and inform the instructor of my symptoms. I am aware that personal health/accident insurance is my responsibility. I claim that to the best of my knowledge, I do not have any medical/physical disability that will preclude my safe participation in this program. Signature ______________________________________ Date_____________________________ (signature required to validate registration)