Piloxing 4-Week Online Fitness Class: Register Your Interest Here
Submission of this form is only an indication of your interest in the class package.
No forms of purchases or payments are made through this form.

You may track the number of interested parties for the class here: https://padlet.com/simplyhealthhub/833o6m9mwpfohelz
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Full Name *
Contact Number *
Email Address *
I would like to register my interest for this Piloxing 4-Week Online Fitness Class Package. *
I can start attending the classes as early as *
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Thank you for registering your interest with us! We will contact you for further updates regarding class confirmation and payment.
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