MTT Event Registration

Contact Michele the Trainer

First Name: *
Last Name:
Company Name:
Email: *
Home Phone:
Work Phone:
Address
Street AddressApt, Suite, Bldg. (optional)CityState / Province / RegionPostal / Zip CodeCountry
Where do you know Michele from?
Best way to contact you?
Best time to contact you?

Verification

Please enter any two digits *Example: 12
This box is for spam protection – <strong>please leave it blank</strong>:

FORMS To participate in my events, please fill out these forms and bring them with you. Health History Confidential Form (this is a fitness insurance required document also serves as an emergency information form) Download Here Waiver and Release Confidential Form (fitness insurance required document) Download Here