Send a $45 for one class per week, $90 for two classes per week, and $120 for unlimited. Because of the large volume of registrations we receive, you will not receive a call from us unless the class you have registered for is full. If you do not hear from us, assume your spot is confirmed. If the class you wish to register for is full, we will notify you and invite you to join another class, or put your name on the waiting list. If no other class time works for you, your deposit will be returned. PLEASE NOTE: Refunds given only if we are notified of cancellation BEFORE the first day of class.
please highlight or circle the class or classes you are registering for: INTRO Mon 7:15 pm (starts 6/2) INTRO Tues 5:15 pm (starts 6/3) INTRO Wed 5:45 pm (starts 6/4)
INTRO Thurs 5:15 pm (starts 6/5) INTRO Thurs 9 am (starts 6/5) INTRO Fri 5:45 pm (starts 6/6)
INTRO Sat 11:30 am (starts 6/7) unlimited classes
or other class ____________
Name:___________________________________ Email Address: ___________________________ Phone Number: _________________________ Street Address: ___________________________________ City: _____________________________ State:______ Zip Code:_____________________ How did you find out about us?______________________________________ If it was a brochure, where did you see it?_________________________
Please tell us about any known medical problems and past injuries you have: ________________________________________________________________________ ________________________________________________________________________
I assume the risk of liability arising from my participation, or the participation of a minor child as their parent or legal guardian, with Zanzibar Studio and all instructors associated with said company. I agree to indemnify, hold safe and harmless against, and defend Zanzibar Studio, Andrea Perkins, employees, and instructors from any and all claims, costs, expenses, damage, and liability arising from or pertaining to my participation in this class. I further completely release Zanzibar Studio and participating instructors from any present or future legal responsibility for any negligence which may be found against them arising from my participation, or the participation of a minor child as their parent or legal guardian, in this class. I understand that I should speak with a medical professional before participating in any form of exercise, including any classes at Zanzibar Studio. I further understand that while Zanzibar Studio makes every effort to create a safe environment for everyone, that there is no security in effect in the studio and that Zanzibar Studio will not be held responsible for any damages incurred by the illegal actions of myself, another student, or a third party that happen in or near the studio. By signing this form, you understand and are agreeing to the terms listed above. A signed copy must be on file with the instructor before you begin attending class. It can be turned in at the beginning of the first class. For ongoing students, this waiver will be kept on file. It only needs to be signed once.
Signature:____________________________________________________
Parent / Legal Guardian Signature (if under 18):________________________
Name of minor:________________________________________________