Registration - BusyLizzy Fitness
WELCOME! Please provide the following contact information so that we can communicate with you effectively.
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First Name *
Last Name *
Address (number, street) *
Address (City) *
Postal Code *
Email *
I would like to be contacted by EMAIL with class information and changes *
I would like to receive “The BusyBody News” newsletter, weekly, by email* *
Phone Number (cell) *
I would like to receive group TEXT notifications *
Emergency Contact (name, phone) *
ADDITIONAL INFORMATION
Kindly, provide this additional information (optional), so we can serve you better:
Birthday
MM
/
DD
/
YYYY
My Goals
How did you hear about BusyLizzy Fitness classes and programs?
Liability Waiver: Any person who participates in Fitness classes, events, trials, or other fitness services provided by Elizabeth Glenday shall do so at his or her own risk. He or she shall assume all risk involved, including but not limited to all loss or stolen property, cost, claim, injury, damage, or liability sustained while participating. Elizabeth Glenday and BusyLizzy Enterprises will not be held liable for any misfortune that may occur. By signing below, you are certifying that you are in good health and have consulted a doctor before beginning this or any other exercise program. *
Media Release: The Media may be invited to take photographs and write articles about our program(s) and/or participants. Photos/videos (collectively or individually) may be taken by Elizabeth Glenday, participants and/or professional photographers and may be used for internal and community activities, displays, newsletters and other print media, and/or may be posted on internet sites and social media pages as approved by Elizabeth Glenday. *
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