register

Up to 5 days a week for 4 Weeks for $14.95 per class

You now have 2 options:
A. You can print this form and send it in with payment by mail. | Download Form | Print Form |
B. Register Online

If you are choosing to participate in the program 3 days a week, you can come any 3 days you choose.

Fill out the online form below to register via internet. Click on Submit to go to the payment page. Payment Page: Pay via Paypal. Choose your class and finish your online registration. A PayPal account is not required to pay via PayPal. NOTE: Spaces fill quickly for this unique experience. We cannot guarantee your space until we have received payment.

NO REFUNDS ISSUED AFTER THIRTY DAYS OF INITIAL PAYMENT.

If paying by check, please make check out to:

Epic Boot Camp: Philly
233 Baxter Drive
Phoenixville, PA 19460M
Phone: 610-316-7619

Epic Boot Camp: Pittsburgh
233 Baxter Drive
Phoenixville, PA 19460
Phone: 610-316-7619

Please use the links below, and the next/previous buttons to navigate the form...
Step 1: Personal Information | Step 2: Fitness Information | Step 3: Program Selection

Step 1: Personal Information

Name: *required	Email: *required
Address: *required	City: *required	Zip: *required
Profession:	Phone Number:	Date of Birth:
Emergency Contact Name:	Emergency Contact Number:

Step 2: Fitness Information

Current Fitness Level:	I was referred by:
Main Goal:
What are your upcoming goals related to fitness and your health?
Briefly Describe any medical concerns you have:

Step 3: Program Selection / Terms & Conditions

Attention: All Philadelphia evening classes are now Co-Ed! Bring your husbands!

City:

Camp:

Time/Date:

Electronic Signature:

Date of Signature:

By checking the box you are agreeing to all Terms and Conditions listed here.
*required

register

Step 1: Personal Information

Step 2: Fitness Information

Step 3: Program Selection / Terms & Conditions

fitness for

women

3 Free Classes!

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