Virtual Class Sign Up Form

Yes! I would like to register for class(es).

Complete the form below and click the submit button. Registration is complete when a confirmation screen appears with the words "Thanks for Registering."

Please make a payment by check prior to the first class. Send payment to Jo-Ellen McCarrick, Country Fitness, PO Box 970, Upton, MA 01568..

If you cannot make a payment by check, please email or call or text 508-603-9779 to make alternative arrangements for payment through PayPal or Venmo.

Please complete this form to register. Once complete, click on the submit button.
If you have questions, please email or call 508-603-9779.

* Indicates required field

Name *

First

Last

Email *

Phone Number *

Waiver
I do hereby declare myself to be physically sound and suffering from no condition, impairment, disease, infirmity or other illness that would prevent my participation or use of equipment in this program. I do hereby further assume all responsibly for my participation, activities and use of equipment in my activities. By checking the box below, I assume all risk for my health and well being and hold harmless of any responsibility of the instructor or any persons involved with this program.

I agree to not record the virtual programs without written consent.

I agree to not share links to the virtual program links without authorized consent.

I agree to delete any downloaded program after use.

Recorded programs will be edited to remove images of class participants. However, there is still a possibility that participants may be visible during a class session. As such, I hereby give my consent to authorize Country Fitness use my video image in a class recording. I also understand that I can control my own video display and keep it turned off during a live class.

Please check the box to sign the waiver *

Yes, I agree to the waiver.

Please select class options *

Note: Be sure to select both Monday and Wednesday for the combined Bodytoning and/or Cardio Blast class combination and Monday and Thursday for the Gentle Stretch Class Combination.

Comments or Questions? *

To register for In-person classes at Keefe Tech, please click here to visit the Keefe at Night website.

Cancellation Policy

The course cancellation policy includes a full refund less a $10 administrative fee for any cancellations before the first class. No other refunds available; however, registrations are transferable to another attendee.

Missed classes may not be made up; however, class recordings are available.

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