Please Print or Type Information on the Mail/FAX In Registration Form
TRAINING CITY: ___________________ TRAINING DATES: _______
Kickbox Instructor Training Early Registration ....$129.00... $149.00 (late registration)
Kickbox 2008 Workshop Early Registration ....$69.00... $79.00 (late registration)
Kickbox Choreography Workout....$15.00
Mat Pilates I Workshop Early Registration ....$69.00... $79.00 (late registration)
Mat Pilates II Workshop Early Registration ....$69.00... $79.00 (late registration)
Get On The Ball Workshop Early Registration ....$69.00... $79.00 (late registration)
Pilates On The Ball Workshop Early Registration ....$69.00... $79.00 (late registration)
Plunge Into Fitness Early Registration ....$69.00... $79.00 (late registration)
In-Home Personal Training....$69.00... $79.00 (late registration)
Senior Exercise ....$69.00... $79.00 (late registration)
Yoga...The Mystery Revealed I (Workshop) ....$69.00... $79.00 (late registration)
Turn Thru The Burn (Cycling) Early Registration ....$69.00... $79.00 (late registration)
CEC/CEU Package Special - Early Registration ....$198.00... $240.00 (late registration)
Mat Pilates Manual ....$30.00 Kickboxing Fitness Manual....$20.00
Stability Ball Manuals (Set of 3) ....$30.00 (Manuals are optional, but recommended)
TOTAL: Registration Fees ________
(10% discount if registering for 2 or more trainings - ***No discounts on the manuals)
|PAYMENT METHOD: (please circle one):
VISA MC AMEX Check Money Order
Amount: $ _____ CARD # I__I__I__I__I__I__I__I__I__I__I__I__I__I__I__I__I
Expiration Date (Month) ____ (Year) ____ Name on Card __________________________
Authorized Signature _____________________________________________________
CERTIFICATION: (Participants do not have to be certified to attend a training)
I am certified with __ACE __AFAA __ACSM__NDEITA __NASM__AEA__ISSA__ISCA
__No Certification __Other Cert number(s): ________________________
For registrations dated or postmarked after the early registration date, late registration fees will apply.
No written registration confirmations will be mailed. If a written confirmation or recipt is required, please enclose a stamped, selg-addressed envelope. If you provide an e-mail address and request a confirmation, we will e-mail a confirmation.
There will be a 10% discount on registration fees for groups of three or more, if all registration information and payment are received together. Multiple discounts cannot be combined.
Cancellation Policy: No refunds. If requested in writing, Behind the Scenes Fitness will issue a voucher good for a future training to those who registered but are unable to attend. A $20.00 administrative fee will be charged for issuing the voucher.
Childcare will not be provided during trainings.
If registered for the CEC/CEU Package Special, you cannot have someone else attend a session in your place.
PARTICIPATION WAIVER: I hereby waive any and all claims to damages I may have against Behind The Scenes Fitness, its owner, officers, employees, Eversley Forte, members of the BTSF Training Team, the Facility at which the training is held, any agent or representative of any of the preceding, for any and all injuries suffered by me while traveling to, from and participating in this event. Behind The Scenes Fitness recommends that all participants seek individual consultation with a physician of their choice before engaging in any physical fitness activity, including a Behind The Scenes Fitness workshop or certification. Behind The Scenes Fitness disclaims any responsibility for the individual use or application of information or techniques presented at the Behind The Scenes Fitness workshop or certification by the participant. Due to weather, presenter illness, travel mishaps or any other situation out of the control of Behind The Scenes Fitness, Behind The Scenes Fitness reserves the right to reschedule any workshop or certification. I understand that I may be videotaped or photographed during this event and Behind The Scenes Fitness may use the images for any and all uses. Having signed below where indicated, participant acknowledges and agrees to the foregoing.
Signature: _________________________________________________ Date: ______________________
Please send completed registration form
and payment to:
Behind the Scenes Fitness
65 Washington Street, Suite 296
Santa Clara, CA 95050
email: Click for contact info
Feel free to FAX your order to our office. fax #: 1-408-248-3897
CLICK HERE FOR ONLINE REGISTRATION
For ALL training questions call 408-244-4895 or Click here to contact BTSF