Summer Program Registration


To register and pay online, complete the form below. Details: Group 1: June 15 - August 19, 2010 (Tue/Thurs mornings) excepting Thurs. July 1 holiday Group 2: June 16 - August 20, 2010 (Wed/Fri mornings) 2010 Fees (including HST) (On the deck at 5:45 am, workouts conclude 7:00 am) • Sign up one for $175 \| Sign up two for $325 • 10 Visit Drop-in = $100 A $10.00 admin fee will be subtracted from any refunds given Please make sure you have filled in all the required fields designated by the asterisk *
Name:	*

Phone No.:	*

Email Address:	*

Emergency Contact Name:	*

Emergency Contact Phone No.:	*

Which Group would you like to sign up for?	Group 1 for 1: $175 Group 1 for 2: $325 Group 2 for 1: $175 Group 2 for 2: $325 10 Visit Drop-In: $100

If Applicable, enter the second person's information
Name:	*

Phone No.:	*

Email Address:	*

PLEASE READ WAIVER CAREFULLY:
I, on behalf of myself, members of my family, my heirs, executors, administrators and assigns, hereby forever release, discharge and hold harmless The Fast Lane Fitness Company owners, representatives and agents for injury, loss or damage to my person or property howsoever caused, arising out of or in connection with my taking part in Fast Lane Fitness organized events and activities and, notwithstanding, that the same may have contributed to or occasioned by the negligence of The Fast Lane Fitness Company owners, representatives or agents.
I agree: *

PAY ONLINE:
To register and pay online, click here. After you click submit, you will be redirected to PayPal - either sign in or click Continue on that screen if you do not have a PayPal account. You do not need to have a PayPal account to register and pay online for Fastlane.

PAY IN PERSON:
To register and pay by cash or cheque contact KC for details.

PAY AT SPEED THEORY:
Download the Registration form and take it into
2616 West 4th Avenue