Heilman's Performance Online Plus Adult Membership
This form should be submitted by members wanting to join the Online June Program with access to one training session per week in the physical Heilman's Performance facility.
What day would you like to train at our Heilman's Performance facility?
If the times listed below do not work, please add a time that would work for you during our hours, and we will get back to you. Monday-Thursday 4:00-7:00 PM & Saturday 9:00-11:00 AM
Monday 6:00 PM
Tuesday 6:00 PM
Wednesday 6:00 PM
Thursday 6:00 PM
Saturday 10:00 AM
What is your name (first and last)?
What is your email?
What is your phone number with area code?
What is your age?
Were you referred by one of our members? If so, who referred you?
Thank you for signing up for HP's Online Adult Program! You will receive further information about our program and an invoice for payment soon. If you have any questions or concerns, please feel free to email Courtney at firstname.lastname@example.org or text her at 701-340-3931. We are excited to work with you!
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