Virtual registration We can't wait to have you join our virtual community! I would love to know more about you. Although I can’t tailor the classes to each person individually, I can provide some alternative exercises for those with chronic or acute (current) injuries. Keep me updated on your health and I will do my best to keep you moving, even while recovering from injuries or surgery. Please fill out the information below to complete the registration process. Date(Required) MM slash DD slash YYYY Name(Required) First Last Email(Required) Cell(Required)Address(Required) Street Address City Province AlbertaBritish ColumbiaManitobaNew BrunswickNewfoundland and LabradorNorthwest TerritoriesNova ScotiaNunavutOntarioPrince Edward IslandQuebecSaskatchewanYukon Postal Code I identify as Birthdate(Required)Month123456789101112Day12345678910111213141516171819202122232425262728293031Year2025202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Emergency Contact(Required) Emergency Contact Phone(Required)Why do I need your phone number and home address? If you have an accident or get injured during a LIVE class, I will stop the class and attempt to contact you to check in. If you do not respond and I suspect you are alone, I will call your emergency contact or 9.1.1, providing the address you have on file.Your healthChronic or past Injuries/issuesCurrent injuries Medications Your health goals3 Months 6 Months 1 Year NameThis field is for validation purposes and should be left unchanged.
