energyforlifefitness.com

Boot Camp Registration (Online payment below)
First & Last name:
Street Address::
City::
Postal Code: :
Phone number :
Email address:
Location(s) :	Baden - 6 am (Wilmot Rec) Dearborn - lunchtime (T/Th) Dearborn - mornings (M/W/F) Dearborn - pm (T/Th) am (Sat) Mannheim (for Rider's BC only) New Hamburg Wellesley
Which program package?:	4 week program 6 month program (unlimited classes) Bridal Boot Camp Rider's Boot Camp (8 wks)
I recruited a camper for the 6 month special:	yes no
If yes...their name is:
If yes...their name(s) is/are:
Any medical conditions we should be aware of? :	yes no
Emergency Contact: :
Emergency contact phone number: :
To improve my results, I would like to purchase a Nutritional Kit for $39.95 :	yes no
I would like 2 Boot Camp online workouts a month for only $24.95? (demonstrated via animation):	yes no
I would like to take advantage of Life Coaching support for an additional $39 :	yes no
Method of payment: :	Cash (due on start date) Cheque (due on start date) Online (a processing fee applies)
How did you hear about Energy for Life Fitness Boot Camp?:
Please type the text below:

REGISTRATION CONTINUED:

Please click the 2 links below to print out the following forms:

1. Par Q (Physical Readiness Questionnaire)

2. Liability Waiver

Sign & bring these forms with you on the first day of Boot Camp.

Please note: If paying by cheque, make payable to "Energy for Life Fitness"

Thank you!

Online purchases are subject to a processing fee
(we are charged by Paypal)

$2 for items under $100
$4 for items over $100

Referral discounts when paying online
If you referred new members this month and are entitled to a discount
but want to pay via credit card or paypal
email us by clicking the link below and we will invoice you
at your discounted rate.

REFERRAL DISCOUNT

Click to zoom	6 month special C$735.00 $700 + GST
Click to zoom	Bridal Boot Camp C$236.25 $225 +GST=236.25
Click to zoom	Bridal BC - party of 4+ C$208.95 $199 + GST = 208.95
Click to zoom	Rider's Boot Camp C$92.93 $88.50 +GST=92.93
Click to zoom	Boot Camp - Baden, New Hamburg, Wellesley C$145.95 $139 + GST
Click to zoom	Boot Camp - Dearborn (3 days/week) C$156.45 $149 + GST
Click to zoom	Boot Camp - Dearborn (lunchtime) C$96.60 $92 + GST =96.60
Click to zoom	Boot Camp - Guelph (2 days/week) C$124.95 $119 + GST
Click to zoom	Nutritional Kit C$41.95 $39.95 + GST
Click to zoom	Online Boot Camp C$26.20 24.95 + GST
Click to zoom	Life Coaching support C$40.95 $39 + GST