Member Class Preferences Information Form
Please provide your details and class preferences to help us organize the best schedule for you.
Full Name
*
First Name
Last Name
Email Address
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Membership Status
*
Please Select
New Member
Current Member
Returning Member
Which classes are you interested in? (Select all that apply)
*
Yoga
Pilates
Zumba
Strength Training
Cardio
Dance
Other
Preferred days for classes
*
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday
Preferred time slots
*
Morning (6am-10am)
Midday (10am-2pm)
Afternoon (2pm-6pm)
Evening (6pm-9pm)
Please rate your current experience level for your preferred classes
Rows
Beginner
Intermediate
Advanced
Yoga
1
2
3
Pilates
4
5
6
Zumba
7
8
9
Strength Training
10
11
12
Cardio
13
14
15
Dance
16
17
18
Why did you choose these classes?
Do you have any previous experience in these classes? If yes, please specify.
Emergency Contact Name and Relationship
*
Emergency Contact Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Submit Preferences
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