Event Registration Events "*" indicates required fields Location*Select an optionBriarcliffJefferson ValleyI'm a...* Member Non-Member Briarcliff Events*Select an optionEaster Egg DiveFree Reiki LectureFree Reiki 15-Minute ConsultationJefferson Valley Events*Select an optionFree Reiki LectureFree 15 Minute Reiki ConsultationFree Reiki Lecture Date - JV* June 3rd from 12:00-1:00PM June 17th from 12:00-1:00PM Free Reiki Consultation Date and Time* June 3rd from 1:00-1:15PM June 3rd from 1:15-1:30PM June 17th from 1:00-1:15PM June 17th from 1:15-1:30PM Free Reiki Lecture Date* March 18th from 12:00-1:00PM Easter Egg Dive Pricing* $40/Child Name* First Last Date of Birth* MM slash DD slash YYYY Parent/Guardian's Name*Email Address* Cell Phone Number*Street Address*City*State*ZIP Code*This field is hidden when viewing the formHow did you hear about this event? (Check all that apply) Email Campaign Friend or Word of Mouth Internal Signage (TV, Signs, Posters at the Club) Print Advertising (Newspaper, Magazine, etc.) Simply Motherhood Social Media Website Breakfast with Santa Adult Quantity* Price: $20.00 Quantity Please enter in the number of tickets you would like to reserve. Please also note, there are no refunds. Tax is not included.Breakfast with Santa Child 2 & Older Quantity Price: $12.00 Quantity Please enter in the number of tickets you would like to reserve. Please also note, there are no refunds. Tax is not included.Breakfast with Santa Child under 2 Quantity Price: $0.00 Quantity Please enter in the number of tickets you would like to reserve. Please also note, there are no refunds. Tax is not included.Payment Info* House Charge/Credit Card on File (Members Only) Credit Card * Please note, we do not take credit card payment online. Someone from Club Fit will call you to collect payment. There will be no refunds. Your sale is not final until your payment has been confirmed. You will receive a receipt to the email address provided above.Total
