Name *

First Name

Last Name

Phone *

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Which Exercise program are you interested in? *

Group Personal Training

Introductory T'ai Chi

Advanced T'ai Chi (continuation)

I understand that: *

1. I will be expected to attend assessment, exercise and nutrition sessions. 2. There will be a $25/month fee for the program, attendance of all sessions will result in a $25 monthly participation award 3. The program involves collecting body composition, measurements and performance data, which will be anaomized 4. Sessions are normally held outdoors in a local park

I Agree

I do Not agree