Name *

First Name

Last Name

Phone *

(###)

###

####

I would like to sign up for the following class(es) *

Mondays 9am Strength Training

Mondays 6pm HIIT Cardio

Wednesdays 9am Barre Sculpt

Wednesdays 6pm Pilates/Yoga Fusion

Fridays 9am Strength Training

Saturdays 9am Barre Cardio

Saturdays 10am Yoga Sculpt

Fitness Class Option *

I'm a newbie to this fitness stuff, or I've taken a break and just getting back into it.

I workout regularly but need to shake up my routine.

I am just here for the socialization.

In-Person or Virtual *

I plan to attend classes in person at your home studio.

I plan to attend classes virtually via Zoom

I might do a little of both depending on my schedule.

Cancellation Policy *

I understand that once I have paid, I may not cancel my registration and I will not receive a refund.

I understand and agree to your cancellation policy.

I do not agree to the cancellation policy.

Payment Options *

Once you have been accepted to a group you will receive a confirmation email with instructions how to pay and to confirm your spot. Please select how you would like to pay:

Venmo (no additional fees)

Zelle (no additional fees)

Paypal (credit or debit card, additional transaction fee of $5 will apply)

Square Invoice (credit or debit card online, additional transaction fee of $5 will apply)

I don't have access to any of these.

Liability Waiver *

I HEREBY ASSUME ALL OF THE RISKS OF PARTICIPATING AND/OR VOLUNTEERING IN ANY AND ALL ACTIVITIES, CLASSES OR EVENTS HELD BY Fitness With Laura LLC and/or Energize Retreats LLC. I do here and forever release, discharge and hold harmless Fitness With Laura LLC, Energize Retreats LLC, Laura Gifford, and its officers, employees and volunteers and any of their respective agents, heirs, assigns and contractors from any and all injuries, claims, demands, damages, rights of action, present or future arising out of or in connection with my participation in this or any fitness program. I release Fitness With Laura LLC and Energize Retreats LLC, its owners, operators, agents, employees, contractors, heirs, volunteers, assigns, etc. of any and all liability. I understand that exercise can and may be difficult and/or strenuous. I also understand that I should seek my physician’s advice before beginning any exercise program.

Yes, I agree

No, I do not agree

I understand that I will be contacted within 48 hours to confirm availability to join the group fitness class(es) that I have chosen.

WANT TO JUMP IN TO A CLASS SOONER??? Please text Laura at 763-248-6574 with the class date and time and she will get back to you within 2 hours.

Yes, I understand

No, I don't understand please call me at the phone number I provided above