Kaia F.I.T. Vacaville Pre-Registration Special ONLY For VIP Membership Cost: $129 per month (regular price) BRIK Session: _____________________________ Dates:____________________________________ Cost: $249 Location: Kaia Fit Vacaville (Inside Vacaville Indoor, across from Kaiser) 3777 Vaca Valley Pkwy, Ste C Vacaville, CA 95688 Parking and entrance on backside of building Call (530) 848-6305 or (530) 867-3085 Fax (530) 662-4446 Thank you! Kaia FIT Vacaville Please circle a class time:
Why VIP? • Peace of mind knowing you will never have to worry about signing up each session • Your spot is reserved for your preferred class time • You have the ability to make-up classes • Continued nutrition and wellness support • VIP’s receive 3 BRIK Boot Camps & 6 Core Sessions over the course of 12 months (make the commitment yourself) • You’ll save over $400 or more every year • You are invited to the quarterly Kaia appreciation events • You become a part of a group of women dedicated to health and fitness • You’ll also receive: o FREE Power Hour Saturdays All Year
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5am (M/T/Th/F) · 6am (M/T/Th/F) · 9am (M/T/Th/F) · 5pm or 6 pm (M/T/W/Th) *All classes Saturday at 7am **New 12:30-1:15pm T/TH Class $89 for BRIK **special (normally $120)
VIP
BRIK
Session Only
Date:_________________
Name:______________________________
DOB:___________
Phone: _______________________________ E-mail:_________________________________________ Address:________________________________________ •
City:__________________ Zip:___________
By initialing below I, ________________________________, understand that this is an intense exercise program and that I am capable of the exercise required without putting my health at risk. Initials:____________________
Date:____________________
VIP MEMBERSHIP INFORMATION •
By signing below I,_______________________________, understand that this is a one year commitment to the Kaia F.I.T. program. There will be no refunds provided under any circumstances. “Freezing” my account will not be permitted under any circumstances. Signature:____________________________________________
Date:_________________
VIP Members must provide a Credit Card. Those paying for BRIK only may pay with a check or credit card. Payment Information: Check (BRIK only) VISA MasterCard AMEX
Discover
Credit Card # _______________________________ Exp Date ______________ CCV ____________ PLEASE SCAN AND FAX (530) 662-4446 OR EMAIL BACK TO
[email protected]