AYO-CHI
"JOYOUS ENERGY"
AYO-CHI IS EXCLUSIVELY LICENCED BY THE BODY BRIGADE
CHECK OUT MANY
OF THE OTHER
PROGRAMS
AVAILABLE AT
AYO-CHI CLASS - INFORMATIONAL SIGN UP SHEET
Each AYO-CHI participant MUST complete an informational sign-up sheet...
Name:
MALE
Age (in years):
SEX :
FEMALE
Email:
Height  (in inches):
Weight  ( in lbs. ):
Phone:
I AM INTERESTED IN ATTENDING CLASSES AT THE FOLLOWING LOCATIONS
SUNY ORANGE COMMUNITY COLLEGE
MINERALS SPA AND RESORT
I WANT TO SET UP A CLASS AT MY LOCATION
UNION AVENUE "Y" FITNESS CENTER
Please choose all the statements below that apply to your personal health and fitness.  Please provide any
additional information that might be necessary for us to know prior to your attendance in the space provided.  
We take every precaution in maintaining your health and safety, please help us by giving us proper information.
We all have different goals and it is important
that we reach those specific goals.  Please
choose the goal (or goals) that best represent
what you are looking to achieve.
If your goals are different than those listed,
please enter your goals in the ISSUES /
COMMENTS section.
CHOOSE ALL STATEMENTS THAT APPLY TO YOU
Additional Health Issues / Comments:
I have given all my known medical information requested on this form and I
have been cleared by my physician to participate in this program.  Any
participation not cleared by my physician, based on my health status, is done
so at my own discretion and I waive any rights regarding possible damages.
DISCOVER YOUR ENERGY