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PittFitness Participation Waiver
Join us for your first class free!
Class Times:
Monday - Thursday
| 5am, 6am, 7:30am, 9am, 12pm, 4pm, 5pm, 6pm
Friday
|
5am, 6am, 7:30am, 9am, 12pm, 4pm, 5pm
Saturday
| 7:30am, 8:30am
Sunday
| 8:30am
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* Indicates required question
Primary Participant Name (First, Last)
*
Your answer
Cell Phone
*
Your answer
Email
*
Your answer
Date of Birth
*
MM
/
DD
/
YYYY
What are you currently doing for fitness?
*
Your answer
What are your fitness goals?
*
Your answer
Address
*
Your answer
List any current injuries or medical conditions
Your answer
How Did You Hear About PittFitness?
*
Social Media (Instagram, Facebook)
Website
Google
Friend Referral (please list name below)
Other (please list below)
Required
Referred By:
Your answer
Class Time Interest (view above in description)
Your answer
Emergency Contact (First, Last)
*
Your answer
Emergency Contact Phone Number
*
Your answer
Additional participants from same household (First, Last Name, Email (if different than primary) DOB, gender)
Your answer
Additional participants from same household (First, Last Name, Email (if different than primary) DOB, gender)
Your answer
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