Register For Class – Basic Training Academy

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Instructions:

We are just as excited about your upcoming fitness program as you are. However, before we can start making you sweat, beg for mercy, and transform that thing you call a body, we're going to need some information to help us get you scheduled as quickly as possible. The information provided will help to make your experience with us productive and memorable. Once your registration data is received, you will be notified 3-5 days prior to the beginning of the month you selected.  Anytime 10 card holder privileges allow for you to attend classes at your convenience. Remember, all classes except Anytime 10 start at the beginning of the month and finish at the end of the month.

Date

Date of Registration

First Name *

What is your first name?

Last Name *

What is your last name?

Address 1 *

What is your street address?

Address 2

Do you have a apt, unit, or suite number?

City *

What is your City?

State *

Zip *

What is your 5 digit zip code?

Phone Number *

What is the best contact number for you?

Email Address *

What is your email address?

Confirm Email Address *

Confirm Email

Age *

What is your age group?

Gender *

Intensity Level *

Which program are you interested in?

Location Interest *

Which location are you interested in?

Referral Status *

Start Date *

When would you like to start with us?

Voucher Number

What is your voucher number if using Groupon , Living Social, or Coupons?

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