| First Name: |
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| Last Name: |
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| Address Street 1: |
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| Address Street 2: |
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| City: |
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| Zip Code: |
(5 digits) |
| State: |
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| Daytime Phone: |
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| Evening Phone: |
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| Email:: |
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| Are you Pregnant? |
Yes (please get your Doctor's ok) |
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No |
| T-Shirt Size |
S |
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M |
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L |
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XL |
| How would you rate your current level of fitness? |
Beginner (workout 0-1 times per week) |
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Intermediate (workout 2-3 times per week) |
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Advanced (workout 4 or more times per week) |
| Select Class |
Auburn - Mon/Thurs 9:00am-10:00am |
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Federal Way - Tues/Thurs 8am-9am |
| Select Option |
16 Classes ($135) |
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8 Classes ($80) |
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