Piloxing Class Registration Form
Thank you for your interest in Piloxing Class at TERRA!

Classes are at $10.50 per session

Sessions are held on dates listed below, 12pm to 1pm.

Shower facilities are available. Kindly bring along a bath towel and toiletries if you would like to use the facilities after class!
Sign in to Google to save your progress. Learn more
Upcoming Piloxing Sessions:
Name *
Email Address *
Contact number *
Consent: *
By submitting this form to TERRA by The Common Ground, I hereby warrant that all the information I have submitted in this Form is true and accurate to the best of my knowledge. I further understand that any personal data which I have provided in this form may be processed by TERRA by The Common Ground or any of its vendors and/or subcontractors ("TERRA's connected entities") both locally and overseas and I consent to such processing for the purposes as set out in TERRA's Privacy Policy. I understand that any personal data disclosed by me herein will be retained by TERRA's connected entities as long as any of the purposes set out in TERRA's Privacy Policy remain valid.
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of The Common Ground. Report Abuse