Bootcamp Registration Form - Surrey Langley BC

First Name*

Last name:*

Date of birth:*

/

/

day

month

year

Address and Postal Code*

Phone Number*

Area Code

-

Phone Number

E-mail:*

Is this your first bootcamp?*

Yes

No

What Are Your Primary Fitness Goals?*

I am interested in these days and times:*

I would like to participate in:*

1 session per week $99 + gst

2 sessions per week $149 + gst

Drop In Fee $19.00 + gst

I am signing Up For This Session*

Add to Newsletter

Yes

No

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Contact Us
Call us 604-783-4790
sonia@bodycircuitforher.ca or fill in the form