1st time registrants, please be sure that each field is complete. Returning registrants only need to complete the required fields.

If you are a member of The JCC or the Court Club or have been offered a discounted rate of any kind and wish to pay by credit card, please contact makefit@nycap.rr.com after completing this form to make payment arrangements.

**First Name
**Last Name
Date of Birth (mm/dd/yyyy)
Street Address
City
State
Zip
**Phone
**Email
Fitness Level (beginner, intermediate or advanced)
Medical Conditions
**Class Code You are Registering For (click here for a list):
Are you a JCC or Court Club Member?		Yes     No
**Chosen payment method:		Check/Money Order Cash Credit Card
Do you carry Blue Shield of Northeastern NY Insurance?
How did you FIRST hear about BCC or any other Make It Fit services?

If you choose to pay by check or money order, please submit payment PRIOR TO THE START OF CAMP to:

Make It Fit, LLC
2 Juniper Drive
Clifton Park, NY 12065

Payment must be received in full prior to the start of class. A payment plan is available at a 10% service fee. Please contact makefit@nycap.rr.com for more information

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