Todays Date: * First Name: * Last Name: * E-mail: * Phone number: * Camp Location: (please select one) * Katy YMCA/Cinco Ranch Katy Falcon Point MaryJo Peckham Park Arthur Storey Park Cullen Park Deerfield Village Eagle Lake East Bernard George Bush Park The Heights (Spotts Park) Hermann Park Matzke Park Memorial Park Meyer Park (Spring) Pearland Ray Miller Park Richmond YMCA Sealy Spring Sugar Land Terry Hershey Park Wharton The Woodlands OTHER, not listed above... Type of Fitness Boot Camp: * Regular Beginners Special (2, 90 minute camps/wk) Teachers Boot Camp Moms Boot Camp Co-Worker Boot Camp Camp time requested: 5:00 - 6:00am 6:15 - 7:15am 3:45 - 4:45pm 6:00 - 7:00pm 6:30 - 7:30pm How many people interested in same location? Self Self + 1 Self + 2 Self + 3 or more Yes, I would like to be called to set up a camp at my location (phone number):
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