Positive Fitness Online Registration

Registration

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Welcome to Positive Fitness and our online registration system! Please complete the following registration form and family information to register for Fall 2023-spring 2024 classes! Registration for fall 2023-spring 2024 will not open until August 15, 2023. After that we have rolling enrollment in classes that have open spaces

* denotes required fields

Referral Information

How did you hear about us?

Family Information

Family Last Name*

Where do you live?

Home Address*

City*

State*

Zip*

Primary Phone*

Additional Info

Emergency Contact Info (Not Contact #1 or #2)

Pay online, at PFG, or Auto?*

Contact #1

Contact #1 First Name*

Last Name *

Type

How Can We Contact You?

Home Phone *

Work #

Cell #

Portal Access (your email is your login)

Email* (Emails are kept confidential)

Confirm Email*

Portal Account Password

Confirm Portal Account Password

Contact #2

Contact #2 First Name*

Last Name*

Type

How can we contact you?

Home Phone

Work #

Cell #

Email (Emails are kept confidential)

Confirm Email

Student #1

Student's First Name*

Last Name*

Student Gender*

Birth Date*

Additional Info

School

Grade Level*

Disabilities (Leave blank if NONE)

Special Needs (Leave blank if NONE)

Allergies (Leave blank if NONE)

please pay special attention to the registration agreement you will sign. New Policies include, but are not limited to:

*Parents will be expected to stay outside of the building, (Preschool students will be brought to the door at the end of class. you DO NOT need to come in for them. Payments by cash or check may be made at the desk.

*Class sizes will be limited to 25 students for one hour classes and 16 for preschool classes

*Students should bring their own water bottle, clearly marked with their name to class

*students in preschool classes will need to be mostly independent with restroom needs

*If your student is showing any symptoms of Covid, such as (but not limited to) fever, cough, fatigue, please do not come to class!!

*Masks are currently optional.

Please click on the Search button below, then choose the class.

Enroll in Classes

Select Class *

Student #2 (Show-Hide Details)

Student's First Name*

Last Name*

Student Gender*

Birth Date*

Additional Info

School

Grade Level*

Disabilities (Leave blank if NONE)

Special Needs (Leave blank if NONE)

Allergies (Leave blank if NONE)

please pay special attention to the registration agreement you will sign. New Policies include, but are not limited to:

*Class sizes will be limited to 25 students for one hour classes and 16 for preschool classes

*Students should bring their own water bottle, clearly marked with their name to class

*students in preschool classes will need to be mostly independent with restroom needs

*If your student is showing any symptoms of Covid, such as (but not limited to) fever, cough, fatigue, please do not come to class!!

*Masks are currently optional.

Please click on the Search button below, then choose the class.

Enroll in Classes

Select Class

Student #3 (Show-Hide Details)

Student's First Name*

Last Name*

Student Gender*

Birth Date*

Additional Info

School

Grade Level*

Disabilities (Leave blank if NONE)

Special Needs (Leave blank if NONE)

Allergies (Leave blank if NONE)

please pay special attention to the registration agreement you will sign. New Policies include, but are not limited to:

*Class sizes will be limited to 25 students for one hour classes and 16 for preschool classes

*Students should bring their own water bottle, clearly marked with their name to class

*students in preschool classes will need to be mostly independent with restroom needs

*If your student is showing any symptoms of Covid, such as (but not limited to) fever, cough, fatigue, please do not come to class!!

*Masks are currently optional.

Please click on the Search button below, then choose the class.

Enroll in Classes

Select Class

Student #4 (Show-Hide Details)

Student's First Name*

Last Name*

Student Gender*

Birth Date*

Additional Info

School

Grade Level*

Disabilities (Leave blank if NONE)

Special Needs (Leave blank if NONE)

Allergies (Leave blank if NONE)

please pay special attention to the registration agreement you will sign. New Policies include, but are not limited to:

*Class sizes will be limited to 25 students for one hour classes and 16 for preschool classes

*Students should bring their own water bottle, clearly marked with their name to class

*students in preschool classes will need to be mostly independent with restroom needs

*If your student is showing any symptoms of Covid, such as (but not limited to) fever, cough, fatigue, please do not come to class!!

*Masks are currently optional.

Please click on the Search button below, then choose the class.

Enroll in Classes

Select Class

Student #5 (Show-Hide Details)

Student's First Name*

Last Name*

Student Gender*

Birth Date*

Additional Info

School

Grade Level*

Disabilities (Leave blank if NONE)

Special Needs (Leave blank if NONE)

Allergies (Leave blank if NONE)

please pay special attention to the registration agreement you will sign. New Policies include, but are not limited to:

*Class sizes will be limited to 25 students for one hour classes and 16 for preschool classes

*Students should bring their own water bottle, clearly marked with their name to class

*students in preschool classes will need to be mostly independent with restroom needs

*If your student is showing any symptoms of Covid, such as (but not limited to) fever, cough, fatigue, please do not come to class!!

*Masks are currently optional.

Please click on the Search button below, then choose the class.

Enroll in Classes

Select Class

Add Another Student

Required Policies

(Show-Hide Details)

Questions or Concerns

Comments

Payment Information

Account Information

Pay Online, Pay at PFG (check or cash), or AUTOCHARGE?*

Credit Card

Card Number

Exp Month

Exp Year

Card Nickname

Name as it appears on card

Address Line 1

Address Line 2

City

State

Zip

eCheck/Bank Draft

Bank Name

Account Type

Your Account Name (Your name on your bank statement)

Bank Routing Number (9-digit number)

Account Number

Registration

Referral Information

Family Information

Where do you live?

Additional Info

Contact #1

How Can We Contact You?

Portal Access (your email is your login)

Contact #2

How can we contact you?

Student #1

Additional Info

Enroll in Classes

Student #2 (Show-Hide Details)

Additional Info

Enroll in Classes

Student #3 (Show-Hide Details)

Additional Info

Enroll in Classes

Student #4 (Show-Hide Details)

Additional Info

Enroll in Classes

Student #5 (Show-Hide Details)

Additional Info

Enroll in Classes

Required Policies (Show-Hide Details)

I Agree to All of the Above

Questions or Concerns

Payment Information

Account Information

Credit Card

eCheck/Bank Draft

Required Policies

(Show-Hide Details)