Group Fitness Registration

 

Contact Information:

First Name  

Last Name  

Email Address  

Phone Number  

Status  Select One Alumni Employee/Affiliate Plus One Student  

 

 

Registration Information:

Term  Summer Fall Winter Break Spring  

Pass Type 

 

1. Student (Paid with fees)
2. ALL Class Pass ($60)
3. NOON Class Pass ($40)
4. AM Cycling @ YMCA ($35)
5. PM Cycling @ YMCA ($35)
6. All Summer Pass ($75)
7. Break Pass ($30)

  

*All individuals looking to participate in Winter Break or Summer Group Fitness needs to pay. Winter Break is $30 and Summer is $30 per month. Includes Students. 

Waiver and Release Completed 

 

Payment:

Cash  Check  Paid by Fees or Membership (Not applicable for Winter or Summer Sessions)

Check Number  

Amount Received   Select One $0.00 $30.00 $35.00 $40.00 $60.00 $75.00 $95.00  

 

 

Staff Member Completing Form