Fitness Professionals On Demand,LLC
7 Locust Lane Clifton Park, NY 12065
cox@nycap.rr.com
518-505-2669

Registration Form

Please complete this registration form and hit the submit box at the bottom.  It will be forwarded to Fitness Professionals On Demand.  We will let you know your form was received.  Please send payment for the class to the address below.  Upon receipt of your payment we will notify you via email of the start and finish dates for your class.  Most classes are scheduled for 10 sessions.  (Members of BSNENY Insurance please use the registration form titled BSNENY Registration form)  Click below for a downloadable form if you wish to mail it in.

General Class Form

Class Name  
Class Location  
Preferred date
to begin class
 
Name  
DOB  
Sex   Female Male
Phone  
Email  
   

Waiver (For all persons registering for Fitness Classes)

I do not have any medical problems that would put me at medical or physical risk from participating in this class.If there is any doubt or if I have any chronic or acute medical problems I have checked with my doctors and obtained a medical release. I have given the instructor of this class a copy of this medical release. My signature and date below confirm my agreemnt with this waiver.

Signature & Date signed  
Payment   Mailed check
   

Please mail check to Fitness Professionals On Demand 7 Locust Lane Clifton Park, NY 12065

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