12 Week Ultimate Fitness Challenge
Full Name
*
Date of Birth
*
Please select a month
January
February
March
April
May
June
July
August
September
October
November
December
Month
Please select a day
1
2
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31
Day
Please select a year
2026
2025
2024
2023
2022
2021
2020
2019
2018
2017
2016
2015
2014
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2012
2011
2010
2009
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1931
1930
1929
1928
1927
1926
1925
1924
1923
1922
1921
1920
Year
Phone Number
*
E-mail
*
Select the two sessions you will attend each week
*
Tue 6:00-7:00am Basil Reserve
Tue 7:15-8:15pm Menzies Reserve
Thu 9:30-10:30am Basil Reserve
Thu 7:15-8:15pm Menzies Reserve
Fri 6:00-7:00am Basil Reserve
Sun 10:00-11:00am Menzies Reserve
I need to vary mine as we go
Good Luck!
Submit
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