Registration Form

Fitness and Nutritional Consulting

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Registration Form
Boot Camp

Registration for Boot Camp

Please fill out the following Registration form
for Boot camp and submit before attending class

Monthly Registration - $60.00
Daily class - $20.00

Contact Information

Please complete the following information and someone will contact you with more details on Boot camp and locations. Or you can call (858) 205-0959.

First Name:
Last Name:
Address Street 1:
Address Street 2:
City:
Zip Code:	(5 digits)
State:
Daytime Phone:
Evening Phone:
Email:
Comments:	Please list if you will be paying monthly or daily.