Barre and Pilates Sculpt & Strength Class Registration Form

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Thank you for registering for our 5 week fitness program! Once you finish filling out this form, there is a blue button on our website that says "Make Payment Here." When you click that, it will bring you to a PayPal link that will allow you to make a payment.

Email *

Name *

Email *

Street Address *

City and Zip Code *

Cell Phone *

Emergency Name and Phone Number *

Please let us know of any health conditions, restrictions or allergies we should be aware of (physical, mental, emotional): *

Please select which sessions you would like to take... *

1 Class a week

2 Classes a week

3 Classes a week

4 Classes a week

Required

Are you signing up for in studio classes or virtual classes? *

In Studio

Virtual

RELEASE OF CLAIMS:

I have received, read and understand the policies and information for RNS Dance Studio, LLC. I have indicated any health condition the staff should know about and hereby release and discharge RNS Dance Studio, LLC, its director, staff and members from and against any and all liability or causes of actions out of or in connection with said students’ participation. I fully understand that said student assumes all the risks in participating in any activity with RNS Dance Studio, LLC. I, the undersigned, understand that any activity which involves motion, rotation, height or inversion may cause serious accidental injury and all medical expenses will be covered by me or my health insurance.

I have read this release and understand all of its terms. *

I accept

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