Playmakeru.ca FacebookTwitterYoutubeLinkedIn
Register Now
 

REGISTER ONLINE - EM•Power

Registered but haven't paid yet? Click here.

 
Last Name:
First Name:
Occupation/Grade:
Address:
City, Province
Postal Code
Email:
Daytime Telephone:
Cell/Alternate Number:
Age:
Weight:
Which nutrition plan best suits your needs? Monitored ($20/month) Un Monitored ($10/month)
Preferred Training Days: Monday Tuesday Wednesday Thursday Friday Saturday Sunday
Preferred Training Times:: 6-9am 9am-12pm 12-3pm 3-6pm 6-9pm
Number of days to train: 1 2 3 5 6
Please describe your Training Goals as precisely as you can:
Have you been cleared by a doctor for training?:
Do you participate in any sports or recreational activities? If so please list:
How physically demanding is your job? : Not at all Somewhat demanding Fairly strenous
Pre-existing injuries/conditions of note
Method of payment Cash Cheque Paypal (Credit Card)

Cheque policy