Registration Form

Please register and make payment prior to the first day of the session. After you submit this form you will be presented with our secure online payment form through PayPal. You may use your PayPal account or a credit card. Payment may also be made prior to beginning the session through check or cash. A receipt will be emailed to you if you wish.

Choose your classes:

Phinney Neighborhood Center 6AM	TUES THURS
First Name:
Last Name:
Address:
Phone:
Email:
Preferred Method of Contact:	Phone Email
Emergency Contact:
First Name:
Last Name:
Phone:
Fitness Interests and Goals:
Medical Concerns/Injuries:
How did you hear about us?	Flyer Personal Referral
Did you hear about us in another way?

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