APPLICATION

Parent's Name ___________________________________________________

Address _________________________________________________________

City ________________________State____ Zip ________________________

Home Phone _____________________ Cell _________________________

Participant's Name ____________________________________    Age ______

Email ____________________________________________________________

How did you hear about the program? ____________________________

 

Total Transformation Academy Fee:  $425

$100 deposit due at registration

$200 due by start date, March 30^th

$125 due by May 4^th

Scholarships available!

 

Call (405) 752-1233 today to add your child's name to the list. 

 

Method of Payment (check all that apply)

Cash______________________________

Check #__________________________________ Amt. Paid _________

r Visa #__________________________________Exp.____Amt Pd______  

r MC #___________________________________Exp.____Amt Pd______

r AmEx #__________________________________Exp.____Amt Pd______

r Disc #___________________________________Exp.____Amt Pd______

 

For enrollment, please detach application and fill out front and back.  A non-refundable deposit of $100 must accompany this application.

 

Transformation Fitness Center

14701 N. Kelly

Edmond, OK 73013

For more information call 405-752-1233

www.transformationfitness.com