free trial Name * First Name Last Name D.O.B * Date of birth MM DD YYYY Email * Phone * Country (###) ### #### Address Address 1 Address 2 City State/Province Zip/Postal Code Country Emergency Contact Name, Phone and Relationship * Please list all current medical conditions and injuries * Trial Class * Please pick a class time your would like to trial Monday 5:30 AM Monday 12:00 PM Monday 5:30 PM Monday 6:30 PM Tuesday 5:30 AM Tuesday 5:30 PM Tuesday 6:30 PM Wednesday 5:30 AM Wednesday 9:30 AM Wednesday 5:30 PM Thursday 5:30 AM Thursday 5:30 PM Thursday 6:30 PM Friday 5:30 AM Friday 12:00 PM Saturday 7:00 AM Saturday 8:00 AM * By checking this box, you acknowledge that this form is solely for filing and setup purposes. Accept Thank you! We look forward to training with you! Please arrive 5 - 10 minutes prior to the class time.
