On-Line Registration

Classes fill quickly. We cannot reserve your spot until payment is received. Please bring an exercise mat, a set of dumbbells (5-8 pounds), and water. Please feel free to email me rebecca@northshorewomensfitness.com if you have any questions. Read about our refund policy.

Personal Information ( Step 1 of 2 )

Name:			Address:
City:			State / Zip:
Date of Birth (mm/dd/yyyy) :			Phone number:
Work or Mobile number :			email:
I rate my current fitness level as a ( 1-10), Ten being the highest:
I was referred by:
How did you hear about us?
Please specify publication / website / friend or other referral:
This is my first camp? Yes/ No
If your answer is "no", when was the last camp attended?
My main goal is:
Name of Emergency Contact / Phone Number:
required