Custer Group Membership Application and Agreement
Custer Group operates as a private membership association (PMA). Services are available to members only. Please complete this form before your first session. It takes about 5 minutes.
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Email *
Member information
Full name *
Phone number *
Mailing address *
Date of birth *
MM
/
DD
/
YYYY
Emergency contact name and relationship *
Emergency contact phone *
Which services are you interested in? *
Required
What are your goals?
For example: strength, flexibility, posture, stress. Please do not include medical details.
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