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Workout on the Hill
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Workout On The Hill Registration

Before you register please fill out the PAR-Q FORM

Name *
E-mail Address *
Do you have your doctor's approval to exercise? (please select one) *
Home Address *
City, State, Zip Code
Home Phone *
Work Phone
Mobile Phone
Age *
Birth date *
What is the present state of your general health? (please select one) *
Please rate your general level of physical fitness: (please select one)
In case of emergency please contact: *
I am participating in the workout at: * 6:15 AM - 7:15 AM
9:00 AM - 10:00 AM
11:00 AM - 12:00PM
6:30 PM - 7:30 PM
New Participant Fees
Previous Participant Fees
Please complete your registration with PayPal or make check payable for the appropriate amount to: Workout On The Hill. Send your check to: Workout On The Hill --- 390 Chapman Street ---San Francisco, CA 94110 * I am registering with a personal check.
I am registering with PayPal.
How did you learn about Workout on the Hill? New Bernal Journal
Craig's List
Flyer
Referral
Other

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