Ro's Boot Camp - Online Registration Form

Register For Upcoming Session(s)
Phone Nrs: XXX-XXX-XXXX Enter a VALID e-mail address..		** Required information
First Name:	**	Last Name:	**
Cell Phone:		Home Phone:
Please provide at least ONE E-mail address..
E-Mail Address #1:	**	E-Mail Address #2:

Which Session(s)?
	City	Date	Venue	Start	End	Start2	End2
	Dallas	2013-01-01	Health Swag Fitness-Studio	6:30	7:30
	Plano	2013-01-01	Health Swag Fitness- Outdoors	5:30	6:30
	*All Sessions shown above*

Your Primary Goals?
Reduce weight Improve Cardio Improve health Upcoming Event
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Registration..

Join a growing number of
people who are coming to the
Health Swag Fitness to
address their desires to achieve
a healthy body, improve their
overall fitness, and reach any
goals they've set for themselves.

Use this form to tell us a little
about yourself, your goals, and
to register for one of our
upcoming sessions that you
might be interested in attending.