Class Request and Survey
Tell us a little about yourself
Are You Currently A Member?
Yes
No
Sex
Male
Female
Age
18-24
25-35
36-49
50-60
60+
Email Address. We will notify you as new classes come available.
Please check all classes you would take if offered
Kickboxing / Tae Bo
Spin
Step Bench
Yoga
Pilates
Boot Camp
Other List Below
What time of day would you most likely attend a class? To choose more than 1 hold down your Control key.
Please select...
Early morning 5 AM or 6 AM
Mid Morning 9AM
Late Morning 11AM
Lunch 12 Noon
Early Afternoon 3PM or 4PM
Early Evening 5PM
Evening 6PM
Evening 7PM
Saturday Morning
Please add your comments and suggestions.
Copyright Urban Health and Fitness 2009
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