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 optionDWTS (Dancing with Technique Skills)Kids YogaMindful MovementReturn to Light: Yoga for Winter SolsticeSalsa DancingThe Nutcracker en L'eauZumba KidsBriarcliff Programs*Select an optionDancing HomeKickboxing with Patrick ConsingKnockout 30 with Patrick ConsingMeditation & MovementMELT for Foot Treatment - November 8th at 12PMThankful for Spin - 90's StyleThanksgiving Yoga VibesWomen & Teen Self Defense 2 Day Workshop With Patrick ConsingNew Year, New You Zumba with Nick Logrea and FriendsSimply Ballet - Master ClassSimply Ballet- 4 Week SessionSalsa Dancing Pricing* Member: $120 Non-Member: $150 Mindful Movement Pricing* Member: $20 Non-Member: $30 Return to Light: Yoga for Winter Solstice Pricing* Member: FREE Non-Member: $20 Simply Ballet: 4 Week Session* Member: $100 Non-Member: $120 4 Week Session | Thursdays | 11:45am - 12:45pm | 01/18/24 to 02/08/24Simply Ballet: Master Class* Member: FREE Non-Member: $20 Master Class Single Session | January 11th | 11:45am -12:45pm New Year, New You Zumba with Nick Logrea and Friends* Member: $30 Non-Member: $35 DWTS (Dancing with Technique Skills)* Member: $80 Non-Member: $120 4 Week Session | Tuesdays 10:15 to 11:15Women & Teen Self Defense 2 Day Workshop With Patrick Consing* Member: $60 Non-Member: $80 The Nutcracker en L'eau Pricing* Member: $15 Non-Member: $15 Thankful for Spin - 90's Style Pricing* Member: FREE Non-Member: $20 Thanksgiving Yoga Vibes* Member: FREE Non-Member: $25 MELT for Foot Treatment Pricing* Member: $20 Non-Member: $25 Bikram Hot Yoga* Member: $20 Non-Member: $25 Meditation & Movement Dates* November 19th December 3rd January 14th Meditation & Movement Pricing* Member: $30 Non-Member: $40 Dancing Home Dates* November 17th December 15th January 19th Dancing Home Pricing* Member: $20 Non-Member: $25 Kickboxing 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.Kickboxing with Patrick Consing Days and Times* Monday: 9:00 am Monday: 6:00 pm Tuesday: 12:00 pm Wednesday: 10:00 am Wednesday: 5:30 pm Thursday: 12:00 pm Friday: 8:30 am Friday: 12:00 pm Sunday: 9:00 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.Knockout 30 with Patrick Consing Pricing* Member: $15 Knockout 30 with Patrick Consing Days* Monday Wednesday Thursday Friday 11:15 - 11:45 on the TurfZumba Kids* Member: FREE Non-Member $90 (Session Pricing) Kids Yoga Pricing* Member: FREE Non-Member $125 (Session Pricing) PAYMENT:* Free Program Member House Charge eCash Credit Card Gift Card 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