REGISTRATION FORM
Please print this registration form and send it along with your payment to:
Plain Jane Fitness
1315 Chestnut Dr.
Christiansburg VA 24073
Please indicate which workshops you are registering for:
_____ All About Resist-a-Ball ($50)
_____ Build a Better Aqua Class ($50)
_____ Horizontal Conditioning / Vertical Power ($50)
_____ INTERVAL-ocity ($50)
_____ Power Yoga ($50)
_____ Pump and Jump ($50)
_____ TWO of the above workshops for $90
_____ THREE of the above workshops for $120
_____ FOUR of the above workshops for $140
_____ FIVE of the above workshops for $150
_____ Flex-N-Pump ($100)
_____ TOTAL AMOUNT ENCLOSED
Please indicate which Plain Jane workshop you are attending:
date of workshop: ______________________
location of workshop: ______________________
MAKE CHECKS PAYABLE TO PLAIN JANE FITNESS. Sorry, no credit cards.
NO REFUNDS. If you cannot attend the workshop you register for, you will be
given partial credit toward another workshop. If the workshop is cancelled, all
money will be refunded.
Name: ________________________________
E-mail: ________________________________
Address: ________________________________
________________________________
Phone #: ________________________________
Please print this registration form and send it along with your payment to:
Plain Jane Fitness
1315 Chestnut Dr.
Christiansburg VA 24073
Please indicate which workshops you are registering for:
_____ All About Resist-a-Ball ($50)
_____ Build a Better Aqua Class ($50)
_____ Horizontal Conditioning / Vertical Power ($50)
_____ INTERVAL-ocity ($50)
_____ Power Yoga ($50)
_____ Pump and Jump ($50)
_____ TWO of the above workshops for $90
_____ THREE of the above workshops for $120
_____ FOUR of the above workshops for $140
_____ FIVE of the above workshops for $150
_____ Flex-N-Pump ($100)
_____ TOTAL AMOUNT ENCLOSED
Please indicate which Plain Jane workshop you are attending:
date of workshop: ______________________
location of workshop: ______________________
MAKE CHECKS PAYABLE TO PLAIN JANE FITNESS. Sorry, no credit cards.
NO REFUNDS. If you cannot attend the workshop you register for, you will be
given partial credit toward another workshop. If the workshop is cancelled, all
money will be refunded.
Name: ________________________________
E-mail: ________________________________
Address: ________________________________
________________________________
Phone #: ________________________________
Register Here
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