Group Fitness Program Registration Group Fitness Program Registration Form "*" indicates required fields Location*Select an option...Jefferson ValleyBriarcliffI'm a...* Club Fit Member Non-Member If you are a Non-Member, please click here to fill out a Program Billing Form FIRST, in order to attend and be charged for a paid class. Jefferson Valley Programs*Select an optionKids YogaToys for Tots Team Taught Zumba FundraiserReturn to Light Winter SolsticeSTR2: Stretch to StrengthenZumba KidsBriarcliff Programs*Select an optionArm Balance and Inversion Monthly WorkshopFusion Urban Master WorkshopIntro to Ballet Series with David LeventhalKids YogaSelf Defense Workshops with Sam SternStrike Kickboxing ProgramsToys for Tots Team Taught Zumba FundraiserStrike Kickboxing Programs*Select an optionKickboxingKnockout 30Strike Boxing for KidsUnlimited Strike Programs in OctoberKickboxing Days and Times* Sunday: 9:00 am Sunday: 11:30 am Monday: 10:00 am Monday: 7:00 pm Tuesday: 10:00 am Wednesday: 10:00 am Wednesday: 5:30 pm Thursday: 10:00 am Friday: 8:30 am Saturday: 9:15 am You do not need to sign up for specific classes. Pick and choose whichever day you want and apply the pack to any class for flexibility. Registration must be at least 24 hours in advance.Member Kickboxing Pricing* 1 Class/$25 4 Class Pack/$100 10 Class Pack/$225 20 Class Pack/$425 Non-Member Kickboxing Pricing* 1 Class/$35 4 Class Pack/$140 10 Class Pack/$325 20 Class Pack/$625 November Themed Rides* Saturday, November 1st | Halloween Ride 9:15AM Saturday, November 1st | Regular Class 10:15AM Sunday, November 2nd | "Take it to the House" 10:30AM Monday, November 3rd | Ronvember 6:45AM Monday, November 3rd | Y2K Ride 9:45AM Monday, November 3rd | All About the 90’s Ride 6:15PM Tuesday, November 4th | Ronvember 6:45AM Tuesday, November 4th | “Broadway comes to Briarcliff” 8:15AM Tuesday, November 4th | "Take it to the House" 6:15PM Wednesday, November 5th | Marathon not a Sprint 6:00AM Wednesday, November 5th | Battle of the DJs: Tiesto vs. Calvin Harris 9:45AM Wednesday, November 5th | 2010’s Bangers Ride 6:00PM Thursday, November 6th | Ronvember 8:00AM Friday, November 7th | All About the 90’s Ride 9:45AM Sunday, November 9th | One HIIT Wonders 9:15AM Knockout 30 Days and Times* Sunday: 10:30 am Monday: 11:15 am Monday: 6:15 pm Tuesday: 6:30 pm Wednesday: 11:15 am Wednesday: 6:45 pm Friday: 11:15 am Saturday: 10:30 am Knockout 30 with Patrick Consing Pricing* Member: $15 Non-Member: $20 Intro to Ballet Series with David Leventhal* November 1st November 22nd December 20th December 27th Saturdays | 1:30-2:30pm | Studio 1Intro to Ballet Series with David Leventhal Pricing* Member: $25 Non-Member: $30 Arm Balance and Inversion Monthly Workshop Saturday, December 13th Saturday, January 17th Saturday, February 21st Studio 4 | 11:30am | Max 15 participants | With Kristi GioneArm Balance and Inversion Monthly Workshop Pricing Members: $30 Per Class Non-Members : $35 Per Class Toys for Tots Team Taught Zumba Fundraiser Member: Unwrapped Toy! Non-Member: Unwrapped Toy! Return to Light Winter Solstice Member: Free Non-Member: $20 Fusion Urban Master Workshop Dates Monday, December 15th Friday, December 19th Fusion Urban Master Workshop Member: $16 per class Non-Member: $20 per class Toys for Tots Team Taught Zumba Fundraiser Member: Unwrapped Toy! Non-Member: Unwrapped Toy! Dance Party with Nick Logrea Member: $25 Non-Member: $30 STRIKE Boxing for Kids* Member: $100 Non-Member $130 Strike Studio | Wednesdays at 4:30pm | For Ages 5-10 | 4-Week CyclesSTR2: Stretch to Strengthen* Member: $100 Non-Member $120 Zumba Kids* Member: FREE Non-Member $90 (Session Pricing) Kids Yoga Pricing* Member: FREE Non-Member $125 (Session Pricing) Self Defense Workshops with Sam Stern* December 2nd & 4th | 7:15pm-8:45pm | Studio 4 Self Defense Workshops with Sam Stern* Member: $105 Non-Member $125 Kids Yoga Pricing* Member: FREE PAYMENT:* Member House Charge eCash Credit Card Gift Card Participants Name* First Last Date of Birth MM slash DD slash YYYY Child's Name*Child's Date of Birth* MM slash DD slash YYYY Street Address*City*State*AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces PacificZIP / Postal Code*This field is hidden when viewing the formAddress Street Address City State / Province / Region ZIP / Postal Code Primary PhoneEmail Address* Emergency ContactPhone NumberConsent*I represent that I/my child am/is in good physical condition and have no condition preventing me/us from safely participating in the Club’s fitness, sport, and wellness programs. To the extent that my/their physical condition changes over time, I understand that it is our responsibility to monitor my/my child’s physical condition and the Club will not be responsible for any changes in my/their physical circumstances. I/my child appreciate the risks associated with physical activity and the potential for physical stress, strain and injury. I/we also appreciate that there is risk to using or storing personal property at the Club. Accordingly, I/we assume knowingly whatever risks may be involved by reason of my/our use of Club Fit and its facilities, equipment and services. Further, I/we hereby agree to release, indemnify and hold harmless Club Fit, its members, principals, directors, officers, shareholders, employees, affiliates, agents, servants and representatives (the “Indemnitees”) from and against any and all action, claim or suit for personal injury, death or loss, liability or damage to property, costs, expenses or liability, including reasonable attorneys’ fees (collectively referred to as “Loss”) in connection with my/our use of Club Fit, its facilities, equipment or services. I/we waive any and all claims against the Indemnitees for any personal injury or property damage or loss relating to, arising from or connected with my use of Club Fit, its facilities, equipment or services, unless resulting from the negligence of Club Fit. I/my child hereby grant to Club Fit my/our consent and permission to use my/our photographs or other likenesses, entries, pictures, portraits, voices, testimonials, biographical information (in whole or in part), and/or statements made by me/us regarding the Club worldwide and in perpetuity for any and all purposes, including, but not limited to, advertising, trade and/or promotion on behalf of Club Fit, in any and all forms of media, now known or hereafter devised, including, but not limited to, print, TV, radio, electronic, cable, social media, or World Wide Web, without further limitation, restriction, compensation, notice, review, or approval. I/my child hereby release and discharge Club Fit from any claims and demands arising out of or in connection with such use(s), including but not limited to any and all claims for libel or invasion of privacy/publicity. This Agreement embodies the entire agreement between the parties with respect to the subject matter hereof and may only be changed by a written instrument signed by both parties. This release, waiver, and consent shall be binding upon me and my heirs, legal representatives and assigns. I accept all terms as outlined aboveCAPTCHA