The Alaska Club Zumba

Nonmembers: click here to purchase a 10-session Zumba package for just $65... save 35%!

Registration Form
Check spelling and fill out completely. *These fields are required.

*Participant Name

*Program Name

Emergency Contact

Emergency Number

*Participant Mailing Address

Alaska Portrait Photography

*Phone

*Email

Work Phone

*Date *Member/Scan Number

Class charges

	You have my approval to charge the cost of my desired class to my account for this month.
	You have my approval to charge the cost of my desired class to my account monthly until I cancel from this program.

For more information, contact JT Timothy at 330-0150 or jtimothy@thealaskaclub.com.

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