I am looking forward to your participation in the Active Mom HIIT plus Core program! Please complete this registration form to reserve your spot. After submission you will receive a confirmation and more details including payment options.

Name *
Name
Phone *
Phone
Select dates/location
If you are bringing children, please indicate their ages.
Pre participation screening *
Exercise is safe and beneficial for most people. However some people should check with their doctor before beginning a program or before becoming more physically active. Please use the Par-Q or AHA/ACSM Pre-participation screening (google either form) to determine if it is recommended that you consult with a physician before beginning an Active Mom Fitness Program.