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Name

Date of Appointment

Date of Birth

Schedule Time

Address

Address Line 1

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City

State

Zip Code

Primary Contact Name

Primary Contact Number

Secondary Contact Name

Secondary Contact Number

Email Address

Packages and Lessons / Sessions

8 Lessons - $ 700.00
12 Lessons - $950.00
Per/ 30 Mins Sessions - $ 70.00
Assessment/ consultation 1 hour - $ 110.00
10 Lessons - $ 815.00
Per/ 1 Hour Sessions - $ 110.00
Video Sessions Via Whatsapp, Google Meeting - $ 95.00
Assessment/ consultation 30 minutes - $ 75.00

Agree

I have chosen to accept the training sessions or activities at or provided by T.K.E/SHKWVETR. I clearly understan and agree that I must adhere to all rules and safety procedures by T.K.E/SHKWVETR. I have read a copy of such procedures. I understand that I must receive regular medical checkup with a qualified doctor or physician prior to engaging in any strenous physical activities and I participate in physical fitness activities at my own risk. I agree to release and hold harmless T.K.E/SHKWVETR and it's employees from any and all liability.