LOVE IT FITNESS
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Home
What's New
Playlists
Susan Pomfret
Blog
Schedule
New to Zoom?
ZIN Studio
>
ZIN Studio Library
Fees
Application Form
Zoom Guest Pass
Photos
Videos
Contact
Love It Fitness Membership Application
INFORMED CONSENT AND HEALTH DECLARATION
I am aware that participating in a fitness program poses some risk and I know of no physical or other reason why I should not participate.
This will acknowledge that neither the Instructor nor Zumba Fitness LLC is responsible for any injury I might sustain.
*
Indicates required field
Name
*
First
Last
Email
*
Phone Number
*
Address
*
Line 1
Line 2
City
State
Zip Code
Country
Questions or health issues you wish to discuss?
*
Flex Pass - Zoom, Live & ZIN Studio Classes
*
10 classes $80
5 classes $45
Unlimited Monthly Pass
*
1 Month $80
Live Class Registration
*
Session 1 - Sept.21 to Nov.2 - 7 classes $70
Session 2 - Nov.9 to Dec.14 - 6 classes $60
Both Sessions: 13 classes $130
Covid-19 Screening (Live Classes)
*
I am not feeling unwell
I have not travelled
I have not been exposed to anyone who has tested positive for the corona virus
I have not been advised to remain in quarantine
I have been fully vaccinated
Payment may be made via etransfer to
spomfret@live.ca
Submit