Term Planning form

Please complete the below form if you sign up for your exercise classes each term. Don't need to complete the below for clients paying the monthly membership or those on a 10 or 20 pack.

First name

Last name

Where do you attend class?

How many sessions per week ?

Please list your preferred class day/s and time/s you wish to attend:

Relevant notes for our administrative team:

I authorise payment via the option below:

Please tick if you require a private health receipt for the term