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Online Class Registration Form

>> PLEASE COMPLETE THIS FORM TO REGISTER,
one of our friendly sales reps will call you to confirm
& pay for your registration.<<

**If Registering for a FREE TRIAL CLASS, FREE PROGRAM or WAITLIST,
just complete this form &
write FREE TRIAL, FREE or WAITLIST in Class Fee box.**

If you prefer, SUBMIT this form online with "Offline Payment" in the Class Fee box &
one of our friendly Funfit staff will give you a call to finalize payment or
SEND PAYMENTS TO:
FUNFIT Family Fitness Center, 17511 Redland Rd., Rockville, MD 20855 301-975-0099
FAX:301-975-0088 (credit cards only)

Your registration is not complete until we receive your payment. Thank you for your registration!

ALL FIELDS IN RED ARE REQUIRED!

Parents Name
A value is required.
Address
A value is required.
City
A value is required.
State
A value is required.
Zip
A value is required.
Phone (Cell/ Home / Work)
A value is required.
Email Address
A value is required.Invalid format.
Emergency Contact
A value is required.
Lifetime Family Fee
 Add $40, payable lifetime registration fee per family
PARTICIPANT'S NAME
A value is required.
Birthdate
A value is required.
Class Name
Please select an item.
Session
Please select an item.
Class Fee
A value is required.Click Here to Review Fees
Time & Day
(1st choice)
A value is required.
Time & Day
(2nd choice if applicable)
A value is required.
PARTICIPANT #2 NAME
Birthdate
Class Name
Session
Class Fee
Click Here to Review Fees
Time & Day
(1st choice)
Time & Day
(2nd choice if applicable)
Total Class Fees Due
A value is required.

Please complete and submit form and payment or complete the form without payment and a Funfit representative will contact you for your payment or send in a check payable to: Funfit,Inc. & mail along with print out of this page to: Funfit Family Fitness Center, 17511 Redland Rd., Rockville, MD 20855 or Fax a printout of this page with credit card info to: 301-975-0088

If you wish to join our Family Plan, click on this link or please call 301-975-0099 for details.

Funfit Inc. assumes no liability or damages resulting from participation. As with any exercise program, participants are encouraged to consult their physician concerning fitness. All activities present inherent risks and hazards which the signee assumes on behalf of all participants they register.

By submitting this electronic form, you understand and accept full responsibility and understand that all photographs/videos taken at any event may be used by Funfit Inc. for promotional purposes.

 
© 2003 FUNFIT INC., All Rights Reserved , 17511 Redland Road , Rockville, Maryland 20855
Phone (301)975-0099 * 888-8-FUNFIT * FAX (301) 975-0088
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