Contact us today! (586) 778-5222

Phone Number: *

Select a Body Weight Boot Camp Package

Rates Are Listed In The Button

Add a Nutritional Guidance Plan

Select a Body Weight Boot Camp Package *

BUTTS, GUTS & MORE

SIGN UP & ASSESSMENT FORM

Instructions:

STEP #1 Registration:Complete this Sign Up & Assessment Form below and submit.

STEP #2 Payment: Click the CLICK TO PAY NOW BUTTON (rates are listed in the button) and make the payment thru secured Mind Body Site.

Select Thursday Class Time *

Select Monday Class Time *

WAIVER & RELEASE FORM

Email: *

Check here to receive email updates

Name: *

Add a Boot Camp T-shirt

Your Weight :

Address, City, State, Zip : *

Please read Waiver & Release Form below. *

I have read, understand & agree with the Waiver & Release Form.

Select Wednesday Class Time *

Your Age: *

Body Fat % :

Select a Body Weight Boot Camp Package *

Additional Info

Your Sex:

Female

Male

Your Height :

"Don't Talk About It, Be About It"

Contact us today! (586) 778-5222

BUTTS, GUTS & MORE

SIGN UP & ASSESSMENT FORM