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 Jefferson Valley Programs*Select an optionBodyPump LaunchKids YogaMeet Me at the BarreMove To ImprovePrenatal YogaSalsa DancingZumba KidsZumba JuniorBriarcliff Programs*Select an optionBodyPump LaunchBoxing with Patrick ConsingSalsa for BeginnersSummer Burn RideTeen Self DefenseBody Pump Launch - Briarcliff* Member: FREE Non-Member: FREE Child of Member: FREE Body Pump Launch - Jefferson Valley* Member: FREE Non-Member: FREE Child of Member: FREE Prenatal Yoga Pricing* Member: $120 Non-Member: $150 Teen Self Defense Pricing* Member: $150 Non-Member: $175 Summer Burn Ride Pricing* Member: FREE Non-Member: $20 Meet Me at the Barre Pricing* Member: $20 Non-Member: $25 Move To Improve Pricing* Member: $100 Non-Member: $125 Salsa Dancing Pricing* Member: $100 Non-Member: $125 May 11th - June 8th Salsa for Beginners Pricing* Member: $100 Non-Member: $125 April 30th - June 11th, no class 5/14 or 5/28 Boxing with Patrick Consing Pricing* 1 Class: $25 4 Pack: $100 10 Pack: $225 20 Pack: $425 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.Boxing Days and Times* Monday: 9:00 am Monday: 6:00 pm Tuesday: 12:00 pm Tuesday: 6:00 pm Wednesday: 10:00 am Wednesday: 6:00 pm Thursday: 12:00 pm Thursday: 4:45 pm Friday: 8:30 am Friday: 12:00 pm Sunday: 9:00 am Sunday: 10:30 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.Zumba Junior* Member: FREE Non-Member $125 (Session Pricing) Zumba Kids* Member: FREE Non-Member $125 (Session Pricing) Kids Yoga Pricing* Member: FREE Non-Member $125 (Session Pricing) PAYMENT:* Free Program Member House Charge eCash Credit Card Gift Card Credit Card Number* Credit Card Expiration Date (xx/xxxx)* Participants Name* First Last 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* HiddenAddress Street Address City State / Province / Region ZIP / Postal Code Primary PhoneEmail Address* Emergency Contact Phone 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 above