Registration

EDGE Personal Training Registration

Participant Information

First Name

Last Name

Address (Line 1)

Address (Line 2)

City

State

Zip

Phone

Email

Click here to download the EDGE Personal Training Waiver

Please complete this form and bring it with you to your first session!

Package Options

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Consultation + Individualized At-Home Exercise Program = $30
Consultation + 3 Exercise Sessions = $100
Consultation + 9 Exercise Sessions = $200
Consultation + 19 Exercise Sessions = $350

Payment Option

Pay Now
Pay Later

Credit Card Information

Cardholder Name

Credit Card #

Expiration Date

Security Code

Billing Zip Code

Your total payment will be

Your credit balance will cover

Your credit card will be charged

Your bank account will be charged