Name * First Name Last Name Phone (###) ### #### Email * Age group * Under 12 13-17 18-25 26-40 41-49 50+ Any Previous injuries/medical condition that we should be aware of * * What kind of class feels right for you? Beginner (Light cardio, easy-going moves) Intermediate (More energy, higher intensity) I would like to try both — bring on the fun! Other Pass Options See our Services. if you would like to purchase more than 4, please contact us directly (info@agnifit.ca) Payment Method Cash E-transfer - can be sent to prayalini@gmail.com Debit/Credit - additional charges applies Which dates are you dancing with us? MM DD YYYY Consent * By clicking yes, I acknowledge that I have read & understood the following terms: - Passes are non-refundable and non-transferable. - Missed classes are not reimbursed. - All participants must sign the Liability Waiver before joining a class. I Agree Thank you! We will get back to you shortly.