Registration 

Sign up and pay using PayPal

Classes are held at the following locations:

(Tuxedo)
Patricia’s Ballroom & Banquet Hall
Lower Level, 2025 Corydon Ave (Entrance by the Bank of Montreal)

(St. Vital)
Institute of Dance
Unit 7-1604 St. Mary’s Road

(Osborne)
Lord Roberts Community Centre Gymnasium
725 Kylemore Avenue

Last Name
First Name
Daytime Telephone:
Home Telephone:
Email address:
Choose Location and Time	Select One (See top of this page) (Tuxedo) Class C: 5:45am - 6:45am (Tuxedo) Class D: 7:00am - 8:00am (St. Vital) Class E: 5:45am - 6:45am (St. Vital) Class F: 7:00am - 8:00am (Osborne) Class G: 5:45am - 6:45am (Osborne) Class H: 7:00am - 8:00am (Osborne) Class I Noon to 1:00 pm (Osborne) Class J 5:30 pm to 6:30 pm
Which pass would you like	Mon, Wed, Fri pass- $175 Lunch Session: Mon - Thurs (Osborne location only) $185
Select Your Session	Select One Session 2: February 8 - March 5 Session 3: March 15 - April 9 Session 4:April 19 - May 14
Your Fitness Level:	Select one Poor Fair Good Excellent
How did you find us	Select one Flyer Street Sign At Work Internet Search Engine (e.g. Google) Television Newspaper Advertisement A Friend or Relative Email Facebook Twitter
Do you have any medical restrictions that would prevent you from participating in physical exercise?	No     Yes
If yes, Please submit a medical clearance from your doctor to your instructor on the first day of camp.
I have printed and signed the waiver (Bring to first session)"
Your Reason for Participating (select all that apply):		Get in Shape
		I just want to maintain my fitness level
		I really want to support Osborne House shelter
		I’m here to support a friend
		I’ve always wanted to try a fitness boot camp
None of the above (please explain):
Yes, please contact me regarding a free, no obligation Life Coaching consultation.
I ‘m interested in receiving personal financial advice from an expert.
Sure, Fit4 a Cause can contact me with periodic information and updates about the program and with special offers from its partners.
If you were referred by someone please let us know who
Winnipeg Free Press PressCard Number