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Your Information

First Name*:

Last Name*:

Phone Number*:

Email*:

You and Taboo

Are You New To Taboo Dance & Fitness?*:
Yes No

How Did You Hear About Taboo Dance & Fitness?*:
N/A - Already Taking Classes
Website
Posters/Handouts/Fliers
Stagette / Private Party
Existing Student
Saanich News
Victoria News
Goldstream News
Kool FM
Word of Mouth

If Word of Mouth, who was your referrer?:

The Classes

Please Confirm Your Weekly Schedule:*
(Click here to view the timetable)

Monthly Membership

• - $150/month

Cardio Class Punch Cards

• 3-Class Cardio Punch Card - $60 ($20/each)
• 15-Class Cardio Punch Card - $240 ($16/each)

Valentine's Day Speciality Class

• 1x Week - $96 ($16/each)

Pussycat Dolls (Cardio)

• 2x Week - $168 ($14/each)

  • Current Session

  • Wednesday 7:25pm - 8:15pm
• 1x Week - $96 ($16/each)

  • Current Session

  • Wednesday 7:25pm - 8:15pm

Zumba Fitness (Cardio)

• 2x Week - $168 ($14/each)

  • Current Session

  • Tuesday 7:25pm - 8:25pm
• 1x Week - $96 ($16/each)

  • Current Session

  • Tuesday 7:25pm - 8:25pm

Quick & Dirty (Cardio) FULL

• 2x Week - $168 ($14/each)

  • Current Session

  • Monday 6:15pm - 7:15pm
• 1x Week - $96 ($16/each)

  • Current Session

  • Monday 6:15pm - 7:15pm

Pole Dancing 101

• 2x Week - $216 ($18/each)

  • Current Session

  • Thursday 6:15pm - 7:15pm
• 1x Week - $120 ($20/each)

  • Current Session

  • Thursday 6:15pm - 7:15pm

Pole Dancing 202

• 2x Week - $216 ($18/each)

  • Current Session

  • Wednesday 8:30pm - 9:30pm
• 1x Week - $120 ($20/each)

  • Current Session

  • Wednesday 8:30pm - 9:30pm

Payment

Please Indicate Your Preferred Method Of Payment *:

Credit Card or PayPal

Groupon / Gift Certificate
(Please enter your code below, and bring your printed coupon/certificate to your first class)

* Groupon codes are located below the barcode.

Cancellations & Refunds

All cancellations and refunds made prior to the session start-date are subject to a $10 fee. Cancellations made after the session start-date are non-refundable; this also applies to all payment types, including gift certificates and/or coupons. Also non-refundable are Punch Cards & Monthly Memberships.

In ticking this box, I affirm that I understand and accept the cancellation and refund policies of Taboo Fitness*:

I understand and give my electronic consent

Consent Form

I desire to engage voluntarily in an attempt to improve my overall fitness and functional skills. I understand that the physical activities range from low and moderate intensities. I understand and realize that all exercise programs place a workload on the body to promote improvement and at the same time present the risk of negative body response to that exercise.

I understand that I am solely responsible for monitoring my own condition throughout any of the exercises and exercise programs. Should any symptoms occur, I will cease my participation and inform Taboo Fitness Inc. immediately of the symptoms. I agree to assume the risk of such exercises and further agree to hold harmless Taboo Fitness Inc., as well as those teaching on behalf Taboo Fitness Inc., Omni Rehabilitation and Murray Chiropractic Group from any claims, suits, loses or related causes of action for damages, including but not limited to, such claims that result from injury, accidental or otherwise, during or arising in any way from the exercise program.

Furthermore, my voluntary participation in such exercises is for recreational purposes only. Under no circumstances do I intend to use these exercises, exercise programs, or the choreography taught during these programs for any other use. I understand that the exercises, exercise programs and choreography are the sole property of Taboo Fitness Inc.

In ticking this box, I affirm that I have read the consent form in its entirety and understand the nature of the exercise program.*:

I understand and give my electronic consent

Are you a human being? (Forgive us, we're trying to stop the spamming of this form - thanks!)*:

Yes
No