Marconics in Motion: Registration
Please complete this form to ensure access to the video course is assigned to your correct email address and the training manual is sent to your correct mailing address. 


A minimum physical fitness level is required. Before starting any exercise program, it is recommended that you consult with your physician. By enrolling in/purchasing the Marconics-in-Motion video course you are agreeing that you have the physical stamina to participate in a moving protocol, and/or that you are cleared medically to participate in light to moderate physical activity. Participation is at your own discretion and you agree to release Marconics International LLC, its agents and teachers, from any and all liability arising from any incident or injury as a result of your participation.
Your Name *
Email address you will use to access the video files. 

*It is recommended you use a "Gmail" email address as the Marconics in Motion video files are hosted in a secure Google Drive Folder
*
Mailing Address

This is the address your manual will be shipped to:
*
Phone number *
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