Please enter your registration information below and return via email or fax. with your payment information.  Please make payment in full to be entered in the drawing on September 10, 2011, or make monthly installments for your registration fee. Registration fees are not refundable.

Before beginning any fitness program please consult with your doctor

** Please proceed to payment after submission of this form. Your registration will be processed once we receive your payment. Thank You.
STEP 1: INFORMATION
Contact Information:
Name*:
Address*:
City*:
State*:
Zip code*:
Home Phone*:
Cell Phone:
Email*:
Age*:
  * Required

 

For additional information about the event please email trufantfamilyfoundation@gmail.com or call event hotline at 253-301-0704.

Non Profit Tax ID: 501 (c) 3 tax exempt 20-0372528
 


** Please proceed to payment after submission of this form. Your registration will be processed once we receive your payment. Thank You.