CLASS REGISTRATION FORM

The following classes are full:

5:30 PM ZUMBA

5:30 AM Fitness Revolution

5:20 PM Total Body Transformation

8:00 PM Fitness Revolution

You may still register for the classes that are full, but do not pay at this time. You will be placed on a waiting list and notified if/when a spot becomes available before or during the session.

First name *

Last name` *

Gender *

Male

Female

If you are a minor

Name of parent/guardian

What month and year were you born?

Home phone *

Alternate phone *

Street address *

City *

Zip *

e-mail address *

Emergency contact info

Emergency contact name *

Relationship *

Home phone *

Alternate phone *

How did you hear about us?

I attend Capitol City Church

Family/friend/coworker

Website

Need a receipt for your employer?

Yes

Who can we thank for referring you?

Class you are registering for *

* = Required fields

Registration for this session is currently closed. Thank you for your interest. If you would like to be placed on our class waiting list or email list for our next session, please contact Ashlie at capcityfitnessregistration@hotmail.com.

Cap City Fitness

CLASS REGISTRATION FORM