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Personal Details
Name
*
First
Last
DOB
DD
MM
YYYY
Email
*
Phone
*
Emergency Contact Name
Emergency Contact Mobile
Wellness Info
Wellness Goal(s)
Train for an event
Walk-to-Run-5km
Run-FIT
Learn-to-Trail-Run
Improve fitness
Build strength
Workshop/Challenge
Other
Current Fitness Level
Never | rarely exercise
Exercise 1-2 times per week
Exercise 3-4 times per week
Exercise 5+ times per week
Which program are you interested in?
Tell us a bit more about you
Any health considerations we should know about?
Program Info
Programs
(select option below PLUS PACKAGE on right)
GOLD Membership - $50/wk
SILVER Membership - $45/wk
BRONZE Membership - $40/wk
10-Class Pass
5-Class Intro Offer
Annual Membership
Workshop/Challenge
Beauty of Exercise
Standard Packages
Select ONE PACKAGE or email to discuss payment plan
Gold Membership: $50/wk
Silver Membership: $45/wk
Bronze Membership: $40/wk
10-Class Pass: $280
5-Class Intro Offer: $25
Annual Membership: $100
Trail-Run Workshop: $55
Voucher Code
Amount Payable
$ 0.00
Disclaimer
*
I confirm that I understand that participation in training for this program is entirely at my own risk and I should consult my own doctor if suffering from any condition that might make running harmful to my health.
Agree
Signature
*
By entering your name below, you assert that you agree to the above disclaimer and this becomes a binding contract.
Date
DD
MM
YYYY
Total
$ 0.00
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