How did you hear about the seminar?:
First Name
Last Name
Date of Birth
Email (required)
Phone # (required)
Street
City
State (abbreviation; PA, NY, OH, etc.)
Zip Code
Gym/Instructor’s Name
SUNDAY 10:30-1PM: $50
SUNDAY 2PM-4:30PM: $50
SUNDAY BOTH SESSIONS $75
Which Session(s)?: (required)
**NO Refunds unless Seminar is Canceled**
Additional Comments:
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