PERSONAL INFORMATION
Please provide your contact information below.
Name
First
Last
Phone
Email
Address
Street Address
City
Alabama
Alaska
American Samoa
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Northern Mariana Islands
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
U.S. Virgin Islands
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
State
ZIP Code
What is your preferred method of contact?
Phone
Email
Snail Mail
CLASS
Let's create a custom workout plan tailored just for you.
Equipment Only ($15/mo) (MON-FRI 9am-7pm)
Kickboxing + Equipment ($50/mo) Kickboxing: (TUE & THUR 6pm-7pm) + Equipment: (MON-FRI 9am-7pm)
Kickboxing + Equipment ($450/yr) Kickboxing: (TUE & THUR 6pm-7pm) + Equipment: (MON-FRI 9am-7pm)
Circuit Training + Equipment ($50/mo) Circuit Training: (MON & FRI 6pm-7pm) + Equipment: (MON-FRI 9am-7pm)
Circuit Training + Equipment ($450/yr) Circuit Training: (MON & FRI 6pm-7pm) + Equipment: (MON-FRI 9am-7pm)
Personal Training ($150/mo for 1 session a week) Personal Training: Our team will get in touch with you to arrange your session schedule and days
Personal Training ($450/yr for 1 session a week) Personal Training: Our team will get in touch with you to arrange your session schedule and days
Health Class $200/yr : (WEDNESDAY 9am-10am)
Childbirth Classes
PE
Drop In Classes
CHILDBIRTH CLASS Thursday 7:30pm - 9:30pm
These classes are designed to provide education on physiological childbirth. The prices for doula services vary, and for 12 weekly sessions, there is a deposit of $50 to hold your spot, with the remaining $300 due before the first day of class. Additionally, there are various doula services available, including birth doula, postpartum doula, and bereavement doula. You will be contacted to discuss the pricing for these services.
When is your expected delivery date?
MM slash DD slash YYYY
Health Class ($200/yr) : (WEDNESDAY 9am-10am)
How many students will be attending the Health Class?
Pick Number of Students
1 Student
2 Student
3 Student
4 Student
5 Student
6 Student
7 Student
8 Student
Complete the below section based on each number of students you selected above for the Health Class.
Click the '+' for each additional student.
Student Name:
Add
Remove
Do you want to add CPR Certification (optional)?
CPR Certification 2nd Semester
Price:
$40.00
Quantity:
DROP IN CLASSES
Select a Drop In Class
Kickboxing TUES 6pm - 7pm
Kickboxing THUR 6pm - 7pm
Circuit Training MON 6pm - 7pm
Circuit Training FRI 6pm - 7pm
PeeWee (Preschool) TUE 9am - 10am
PeeWee (Preschool) WED 9am - 10am
PE 1 (Elementary) TUE 9am - 10am
PE 1 (Elementary) WED 9am - 10am
PE 2 (Middle - High School) TUE 10am - 12pm
PE 2 (Middle - High School) WED 10am - 12pm
How many attendees for the Kickboxing TUES class?
Price:
$20.00
Quantity:
How many attendees for the Kickboxing THUR class?
Price:
$20.00
Quantity:
How many attendees for the Circuit Training MON class?
Price:
$20.00
Quantity:
How many attendees for the Circuit Training FRI class?
Price:
$20.00
Quantity:
How many attendees for the PeeWee (Preschool) WED class?
Price:
$12.00
Quantity:
How many attendees for the PeeWee (Preschool) TUE class?
Price:
$12.00
Quantity:
How many attendees for the PE 1 (Elementary) WED class?
Price:
$12.00
Quantity:
What school do you attend?
How many attendees for the PE 1 (Elementary) TUE class?
Price:
$12.00
Quantity:
What school do you attend?
How many attendees for the PE 2 (Middle - High School) WED class?
Price:
$15.00
Quantity:
What school do you attend?
How many attendees for the PE 2 (Middle - High School) TUE class?
Price:
$15.00
Quantity:
What school do you attend?
PE + T-SHIRT CLASS
Find Your Fit: Choose the Perfect PE Class for You
Select a PE class
PeeWee (Preschool) TUE 9am - 10am
PeeWee (Preschool) WED 9am - 10am
PE 1 (Elementary) TUE 9am - 10am
PE 1 (Elementary) WED 9am - 10am
PE 2 (Middle - High School) TUE 10am - 12pm
PE 2 (Middle - High School) WED 10am - 12pm
PE 1 Elementary (WED 9am-10am)
Elementary (WED 9am-10am)
Pick Number of Students
1 Student
2 Student
3 Student
4 Student
5 Student
6 Student
7 Student
8 Student
PE 1 Elementary (TUE 9am-10am)
Elementary (TUE 9am-10am)
Pick Number of Students
1 Student
2 Student
3 Student
4 Student
5 Student
6 Student
7 Student
8 Student
PE 2 Middle - High School (WED 10am-12pm)
Middle - High School (WED 10am-12pm)
Pick Number of Students
1 Student
2 Student
3 Student
4 Student
5 Student
6 Student
7 Student
8 Student
PE 2 Middle - High School (TUE 10am-12pm)
Middle - High School (TUE 10am-12pm)
Pick Number of Students
1 Student
2 Student
3 Student
4 Student
5 Student
6 Student
7 Student
8 Student
PeeWee + PARENT Preschool (WED 9am - 10am)
Preschool (WED 9am - 10am)
Pick Number of Students
1 Student
2 Student
3 Student
4 Student
5 Student
6 Student
7 Student
8 Student
PeeWee + PARENT Preschool (TUE 9am - 10am)
Preschool (TUE 9am - 10am)
Pick Number of Students
1 Student
2 Student
3 Student
4 Student
5 Student
6 Student
7 Student
8 Student
PE + T-SHIRT CLASS (select the number of students)
Pick Number of Students
1 Student
2 Student
3 Student
4 Student
5 Student
6 Student
7 Student
8 Student
Complete the below section based on each number of students you selected above.
Click the '+' for each additional student.
Child Name:
T-Shirt Size (Choices: XL, L, M, S):
Class (Choices: Preschool, Elementary, or Middle/Highschool):
Day (Choices: Tues or Wed):
Add
Remove
PERSONAL TRAINER
For optimal results, it is strongly advised to commit to a minimum of three months.
Are there any specific health issues or concerns that you would like to focus on?
APPAREL
Do you want to enhance your workout wardrobe?
Which product/s are you interested in?
T-Shirt
Hoodie
Towel
Hat
Boxing Gloves
Wrist Wraps
None At This Time
T-Shirt X-Large (Color Blue)
Price:
$15.00
Quantity:
T-Shirt X-Large (Color Gray)
Price:
$15.00
Quantity:
T-Shirt Medium (Color Blue)
Price:
$15.00
Quantity:
T-Shirt Medium (Color Gray)
Price:
$15.00
Quantity:
T-Shirt Small (Color Blue)
Price:
$15.00
Quantity:
T-Shirt Small (Color Gray)
Price:
$15.00
Quantity:
Hoodie X-Large (Color Blue)
Price:
$40.00
Quantity:
Hoodie X-Large (Color Gray)
Price:
$40.00
Quantity:
Hoodie X-Large (Color Pink)
Price:
$40.00
Quantity:
Hoodie Large (Color Blue)
Price:
$40.00
Quantity:
Hoodie Large (Color Gray)
Price:
$40.00
Quantity:
Hoodie Large (Color Pink)
Price:
$40.00
Quantity:
Hoodie Medium (Color Blue)
Price:
$40.00
Quantity:
Hoodie Medium (Color Gray)
Price:
$40.00
Quantity:
Hoodie Medium (Color Pink)
Price:
$40.00
Quantity:
Hoodie Small (Color Blue)
Price:
$20.00
Quantity:
Hoodie Small (Color Gray)
Price:
$20.00
Quantity:
Hoodie Small (Color Pink)
Price:
$20.00
Quantity:
Towel (Color Blue) - Towels will be embroidered!
Price:
$10.00
Quantity:
Towel (Color Gray) - Towels will be embroidered!
Price:
$10.00
Quantity:
Towel (Color Pink) - Towels will be embroidered!
Price:
$10.00
Quantity:
Hat
Price:
$22.00
Quantity:
Boxing Gloves
Price:
$59.99
Quantity:
Wrist Wraps
Price:
$20.00
Quantity:
NUTRITION CONSULTATION
Are you interested in personalized Nutrition Consultation?
Nutrition Consultation
Yes
No
Not At This Time
ADDITIONAL COURSES
Would you like to include any additional courses in your package?
Which additional class would you like to add?
Circuit Training + Equipment Circuit Training: (MON & FRI 6pm-7pm) + Equipment: (MON-FRI 9am-7pm)
PE
Health ($200/yr) Health Class: (WEDNESDAY 9am-10am)
Childbirth Classes ($350/ 12 Weekly Sessions) Childbirth Class: (THURSDAY 7:30pm-9:30pm)
ADDITIONAL COURSES
Would you like to include any additional courses in your package?
Which additional class would you like to add?
Kickboxing
PE
Health ($200/yr) Health Class: (WEDNESDAY 9am-10am)
Childbirth Classes ($350/ 12 Weekly Sessions) Childbirth Class: (THURSDAY 7:30pm-9:30pm)
PROJECTED TOTAL
Total
Comments
This field is for validation purposes and should be left unchanged.
