How did you hear about the seminar?:
First Name
Last Name
Date of Birth
Email (required)
Phone # (required)
Street
City
State
Zip Code
Gym/Instructor’s Name
Which Day(s): (required)
TIER 1: 1 day: $75 2 days: $145
TIER 2: 1 day: $90 2 days: $155
TIER 3: 1 DAY: $100 2 days: $175
OR
Before FEBRUARY 1ST: 1 day: $90 2 days: $175
After FEBRUARY 1ST: $100 for 1 day $175 for both
**NO Refunds unless Seminar is Canceled**
Additional Comments:
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