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THIS IS NOT A SIGNUP FORM! PLEASE USE THE REGISTRATION FORM DOWN THE MIDDLE OF THE PAGE! Please fill out ALL fields! Check SPAM folder and allow emails from Wiredfitness.com. Allow 24 hours for a response or for immediate inquiries please call 619.843.5157. THANK YOU!


 
Name

Primary Email

Primary Phone

Comments and Questions

*Required
 

REGISTRATION PAGE


Please make sure after you click submit that the white page that opens up with your info you submitted was completed in full. If you do not supply your email address or phone # there is no way to contact you. If you DO NOT receive a confirmation from us within 24-48 hrs please email info@wiredfitness.com or call 619.843.5157. Sometimes our emails get filtered as SPAM!



STEP #1 PICK YOUR LOCATION|TIME SLOT
Creating NEW Class Times for your busy schedules! Classes with taking interest are not in session at this time. Please express interest in a seperate email to a Wired Fitness Trainer or Call 619.843.5157 for more information.

SCHEDULE AND MAP
SCHEDULE AND MAP
SCHEDULE AND MAP
SCHEDULE AND MAP
SCHEDULE AND MAP



SCHEDULE AND MAP

SCHEDULE AND MAP
SCHEDULE AND MAP




**EMAIL BRYAN** LIMITED SPACE!
SCHEDULE AND MAP
SCHEDULE AND MAP


SCHEDULE AND MAP
SCHEDULE AND MAP
SCHEDULE AND MAP

CLASSES PER WEEK:



NOTES



STEP #2 PICK YOUR PACKAGE TYPE + ACCESSORIES




(SD RESIDENTS ONLY!)
(OUT OF TOWN GUESTS AND NON-RESIDENTS)

**
**

BUDDY $379*
BUDDY $329*
BUDDY $299*
BUDDY $259*...BEST DEAL IN SAN DIEGO!















TWO-THREE A WEEK PACKAGES, UNLIMITED PACKAGES ARE ALL BILLED MONTHLY BASED ON YOUR TERM!

* IF YOU ARE SELECTING THE BUDDY PACKAGES UNDER THE UNLIMITED GROUP PLEASE MAKE A NOTE BELOW. THESE PACKAGES APPLY TO LOCATIONS THAT OFFER 5+ SESSIONS PER WEEK OR IF YOU ARE USING A COMBINATION OF MULTIPLE LOCATIONS

** THE TWO AND THREE DAY PACKAGES ARE FOR LOCATIONS THAT ONLY OFFER SHORT SCHEDULES, ALL LOCATIONS OFFERING 5 DAYS A WEEK WILL FALL UNDER THE UNLIMITED PACKAGES


# OF VOUCHERS


NOTES/COUPON CODE



STEP #3 PAYMENT INFORMATION: IF YOU SELECT AN UNLIMITED OR BUDDY PROGRAM FOR A 3-MONTH TO 1 YEAR TERM, YOU MUST FILL OUT THE CC INFO! NO EXCEPTIONS! FOLLOW THE LINK BELOW....DBL CLICK!

DBL CLICK! CREDIT CARD INFORMATION PAGE




STEP #4 PERSONAL AND HEALTH INFO

Anticipated Start Date:
First Class Day...


Class Notes:


Full Name:


Primary Email Address:


*Please make sure you check your junk mail folder and allow
emails from wiredfitness.com


Address:


City:


State:


Zip:


Primary Phone:


Alternate Phone:


Date of Birth:
(MM/DD/YYYY)

Body Weight:


Height:


Sex:

Fitness Goal (explain):



HOW'D YOU HEAR ABOUT WIRED FITNESS



*Please Explain










YES/NO
Has your doctor ever said that you have a heart condition?

YES/NO
Has your doctor ever told you that your blood pressure was too high?

YES/NO
Do you experience loss of balance due to dizziness or do you ever lose consciousness?

YES/NO
Do you have a bone or joint problem that is aggravated by physical activity?

YES/NO
Do you have high cholesterol?

YES/NO
Are you over 65 years of age and not accustomed to vigorous exercise?

YES/NO
Are you pregnant?

YES/NO
Do you know of any other reason that would not allow you to participate in a physical fitness program?

If YES to any of the above questions, please explain.





STEP #5 LIABILITY WAIVER

I, (FULL NAME) have read the following waiver, understand, and agree to its contents.

THE FOLLOWING IS A WAIVER. READ IT BEFORE SIGNING. BY AFFIXING MY SIGNATURE TO THIS DOCUMENT, I ATTEST, CONTRACT, UNDERSTAND AND AGREE THAT I AM TO BE LEGALLY BOUND BY ITS CONTENTS. I hereby stipulate and agree: That I realize the risks of cardiovascular exercise, weight lifting, weight training and/or body building, and I am fully aware of the possibility of malfunctions of equipment.

I, therefore fully understand and I am mindful of the serious consequences which might result due to my involvement in cardiovascular exercise, weight lifting, weight training and/or body building while training with Wired Fitness, and based on that understanding, as set forth in this paragraph, I voluntarily assume any and all risk of loss, damage or injury of any kind whatsoever from my use of any and all of the equipment of Wired Fitness, and further and with full knowledge of the consequences (i.e. that I am waiving my right to sue) expressly waive the part of Wired Fitness, and the operator of Wired Fitness, and from my use of Wired Fitness' equipment and/or facilities. That I am physically sound and have medical approval to proceed with a normal routine of exercise. That all exercises shall be undertaken by me at my sole risk. That I am in good health and have no physical conditions that would be aggravated by my involvement in cardiovascular exercise, weight lifting, weight training and/or body building, nor do I have any physical limitations that would preclude said involvement. I also release Wired Fitness and its contractors (the personal trainers) from liability for their negligence, defective equipment, injuries from dangerous conditions of property, etc.

HAVING READ THE ABOVE TERMS AND INTENDING TO BE LEGALLY BOUND HEREBY AND UNDERSTANDING THIS DOCUMENT TO BE A COMPLETE WAIVER AND DISCLAIMER IN FAVOR OF WIRED FITNESS OF ANY AND ALL LIABILITY, I HEREBY AFFIX MY SIGNATURE HERETO.

Additional policies: You will be asked to read, know, and sign a 'Policies and Procedures' web-based document at the time of enrollment. These policies will be enforced throughout your term and should be followed to ensure focus is maintained on your goals. Emergencies, freezes and special consideration will be handled at the trainer’s discretion. Before and after pictures may be requested. Photographers may be present during class time photographing for our ‘Photo Gallery’ and for advertising and media purposes. Please let the trainer know if you have any concerns.




NOW IT'S TIME TO CHANGE YOUR LIFE!

GET READY FOR THE RIDE!






All participants MUST complete and sign a 'Policies and Procedures' form prior to attending any PAID 'Wired Fitness' Program!








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