Yearly Reclaiming Supporter Membership

Thank you for joining our Reclaiming Supporters! Your upgraded plan gives you all the benefits and perks of our regular membership PLUS the gratification of helping trauma survivors reclaim their bodies. Your membership will provide you with a yearly subscription to Fostering Faith & Fitness’s instructional videos, daily workouts, nutritional information, face-to-face class, and more!

Fostering Faith & Fitness Waiver

Terms:

$400 / Year

First Name:* First Name Required

Last Name:* Last Name Required

Email:* Email is Required

Cell Number:* Cell Number is Required

Emergency Contact Name:* Emergency Contact Name is Required

Emergency Contact Phone:* Emergency Contact Phone is Required

Details I should know (former injuries, knee problems, asthma, etc.):* Details I should know (former injuries, knee problems, asthma, etc.) is Required

Short-term fitness goals:* Short-term fitness goals is Required

Long-term fitness goals:* Long-term fitness goals is Required

I have read and agree to the terms in the waiver above*

Nickname: Nickname is not valid

Age: Age is not valid

Birthday: Birthday is not valid

Fitness Goals: Fitness Goals is not valid

Favorite Movie: Favorite Movie is not valid

Favorite Food: Favorite Food is not valid

Favorite Book: Favorite Book is not valid

What do you want to be when you grow up?: What do you want to be when you grow up? is not valid

What is one thing you want to tell me about yourself: What is one thing you want to tell me about yourself is not valid

Who recommended this program to you?: Who recommended this program to you? is not valid

Username:* Invalid Username

Email:* Invalid Email

Password:* Invalid Password

Password Confirmation:* Password Confirmation Doesn't Match

Have a coupon?

Coupon Code: Invalid Coupon Coupon applied successfully

 

No val Please fix the errors above

82334