Name: Last, First
Street Address:
City:
State:
Zipcode:
Phone Number
Class Session Pricing:
Personal Training Rates 
Partner Training Rates Preferred Personal Trainer
Partner Training Rates Preferred Personal TrainerE-mail Address:
Please print and fill out the appropriate forms and bring it with you on the first day of class/training. You can also email/mail the forms back. If you are taking Boot Camp, Zumba, or a Dance Class please fill out the SpeedFit Waiver, & Par-Q. If you are doing Personal Training please fill out the Personal training form. Thanks!
(4 training sessions can be added to the unlimited, 8 class, 12 class pass.)
Interests: (please check all that apply)
Referred By:
