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Water Fitness Classes

* Indicates required field

Name *

First

Last

Email *

Address *

Line 1

Line 2

City

State

Zip Code

Country

Home Phone Number *

Cell Phone Number *

Class Time Preferred (if we need to add a second class) *

Tues & Thurs 9am-10am Tues & Thurs 10am-11am No Preference

Registration Option (Season has 28 classes) *

Pay-For-Summer $155 (Registration plus all classes) Pay-Per-Class $20 (Registration Only, pay $10 at each class)

Registration Discount of $10 for 2017 Attendees *

Yes, I attended last summer's classes and will enjoy a $10 discount now

I want to order equipment, please send me more info. *

Yes No

Comment *

Please mail check for Water Fitness Registration ($155/$145 or $20/$10)
payable to
Patti Thor
210 West Hamilton Ave #210
State College, PA 16801

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