Registration

If you would prefer to complete this by hand, please download our Registration Form (PDF) here.

First Name: *
Last Name: *
Sex: *
Age: *
Street Address: *
Unit #:
City: *
Province: *
Postal Code: *
Phone Number: *
Email: *
Date of Birth (DD/MM/YYYY): *
Physician's Name:
Physician's Phone Number
Person to contact incase of Emergency:
Name: *
Phone: *
Are you taking any medications? If so, please list medication and reason:
Does your physician know you are participating in an exercise program?:
Describe any physical activity you do somewhat regularly:
Do you now, or have had in the past: 1. History of heart problem, chest pain, or stroke * Yes No 2. Increased blood pressure * Yes No 3. Chronic illness or condition * Yes No 4. Difficulty with physical exercise * Yes No 5. Advice from physician not to exercise * Yes No 6. Recent surgery (last 12 months) * Yes No 7. Pregnancy (now or within the last three months) * Yes No 8. History of breathing or lung problems * Yes No 9. Muscle Joint or back disorders * Yes No 10. Diabetes or thyroid condition * Yes No 11. Cigarette smoking habit * Yes No 12. Obesity (more then 20 percent over ideal body weight) * Yes No 13. Increased blood cholesterol * Yes No 14. History of heart problems in immediate family * Yes No 15. Hernia, or any condition that may be aggravated by lifting weights * Yes No
Please explain any "yes" answers:
Comments:
Class Descriptions and Punch Card Options
Please select the number of class punch cards that you would like to register for:*	Class Punch Cards 4 class Punch Cards ($68 + GST) 8 class Punch Cards ($132 + GST) 12 class Punch Cards ($192 + GST) 16 class Punch Cards ($248 + GST)
Please note: All classes bought for the winter/spring 2008 session expire on May 21, 2008. Any classes not used before this time will be considered null and void. Class Descriptions Body Sculpt Body sculpt is an intense 60 minute resistance training workout, which will tighten and tone your body from head to toe. By using both free weights and their own body weight to provide resistance, participants will develop leaner and more sculpted physiques. Cardio Kick Cardio KICK is a cardio workout for all levels with boxing drills to strengthen and tone your arms while getting a cardio workout. It is high energy and intensity. There are boxing drills, footwork, and aggression. This class is great to mix it up and take your cardio to a new level. Pilates Pilates focuses on the core postural muscles which are essential to providing support for the spine, and keeping the body balanced. Specifically, Pilates exercises teach awareness of breath, alignment of the spine, and strengthen the deep torso muscles. Participating in Pilates on a regular basis will help you to alleviate and prevent back pain. Merchandise Building resident? See Winter/Spring Class Calendars.
Class Registration Policies General: We accept Visa, MasterCard, cash or cheque, payable in full to Train by Trina, prior to the start of a class or session. Payment is non-refundable, unless we remove a class or workshop from the schedule in which you are a registered student. In this case, the amount pre-paid for the cancelled classes will be refunded in full. There is no refund on Personal Training sessions that are not used. There is a $20.00 charge for NSF cheques. Winter/Spring 2008 Class Registration The winter/spring group exercise session will run for a period of 20 weeks, from the week of January 7 to the week of May 18, 2007. During this session we will be offering Body Sculpt, Cardio Kick and Pilates classes. Participants have the option to buy 4, 8, 12 0r 16, and to attend any of our regularly scheduled classes. That means you have the opportunity to attend any and as many classes as you want in a given week. You are no longer limited to a particular discipline or class time based on pre-registration. The prices for these options are as follows: Number of Classes Purchased Pricing Total Incl. GST Expiry Date* 4 $68.00 $71.40 May 21/08 8 $132.00 $138.60 May 21/08 12 $192.00 $201.60 May 21/08 16 $248.00 $260.40 May 21/08 Drop In $20.00 $20.00 N/A *Please note: All classes purchased must be used by the expiration date, and that any classes not used before this time will be considered null and void. To pay online, simply scroll up to the 'Class Descriptions and Punch Card Options' section above. Alternatively, you can bring a cheque payable to Train by Trina to the first class you attend in the new session. For a complete listing of class times and dates, please see the class calendars in the gym, on page 8 of the MQ, or visit the Merchandise Building's website. Workshops Pre-registration is a must. Please arrive 10 minutes early. Your comments, suggestions and class requests are always welcome. We hope you enjoy your classes!
I have read, understood, and agree to the policies set out to in the       Class Registration Policies section:*
How would you like to pay?:*	PayPal Cash or Cheque