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 508-603-9779 to make alternative arrangements.

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.

Note: Be sure to select both Monday and Wednesday for the combined Bodytoning and/or Cardio Blast 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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