Fitness Class Registration Form

To register for a class, please enter your contact information below. For information on any of our fitness classes, please call (949) 499-7114.

Registration Form

*Required Fields

Name*:
Address*:
City*:
State*:
Zip*:
Day Phone*:
Evening Phone*:
Cell Phone:
Email*:

Choose the classes you would like to attend:

Exercise Class for People With Parkinson's Disease (First 6 classes free, then $5 per class)

No date selected
Mondays, 11am-12pm
Thursdays, 11am-12pm
Mondays & Thursdays, 11am-12pm

Get Fit with South Coast Seniors (First 6 classes free, then $5 per class)

No date selected
Mondays, 9:45-10:45am
Thursdays, 9:45-10:45am
Mondays, 9:45-10:45am, & Thursdays, 9:45-10:45am

South Coast Beachcombers Walking Club (Free)

No date selected
Tuesdays, 9:45-10:45am
Thursdays, 9:45-10:45am
Tuesdays & Thursdays, 9:45-10:45am

Tai Chi Class for People with Parkinson's (Free)

No date selected
Mondays, 6-7pm
Thursdays, 6-7pm
Mondays & Thursdays, 6-7pm