Registration

Registration Studio-310

First Name*

Last Name*

M.I.*

Billing Address*

City*

State*

Zip Code*

Home Phone*

Cell Phone*

E-mail*

Emergency Contact*

Date of Birth*

Age*

Physical Limitations: (Please list below):
I understand that if I miss any class for any reason that Studio310 is not responsible for re-embursment. Payment before participation in classes/training sessions are due before the start of a class/session. Faliure to do so may result in forfeit of space in class. All sales are final at Studio-310. Studio credit only.
I have read and signed the Waiver and release of liablity. Therefore release studio310 of any liablity may I become injured or ill. Ioption2 have then, received a physicians clearance for participation in exercise and/or am stating that I am in good heath.

Classe(s) registering for*

Day*

Time*

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