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Solo Fitness: Personal Fitness Vacations in Beautiful Costa Rica

Registration Form

Name:
Age:
Solo-Fitness Vacation Dates:
Are you traveling with another person?
YesNo
If yes, what is their name?
Flight Details: (flights do not need to be booked at the time of registration. This information is simply to help us ensure that your arrival goes smoothly)
Arrival:
Departure:
Home Phone:
Email:
Cell Phone:
Emergency Contact  
Name:
Phone:
Do you have any prior injuries or concerns that we should be aware of?
YesNo
If yes, please explain:
Can you give us an idea of your current fitness level? (check one)
Beginner
Intermediate
Advanced
Do you do any of these activities on a regular basis?
Walk Run
Weight Train Hike
Bike Aerobics Classes
Swim Kick Box
Martial Arts Other
comments:
    

There is a 50% deposit per person due at the time of booking. Please send your payment to:

Solo-Fitness
P.O. Box 176
Kensington, CT 06037

Upon receipt, we will confirm your reservation and begin to plan your personal fitness vacation. The balance will be due 30 days prior to your arrival (please mail to the above address).