New Customer Signup - Revive

Customer Signup

All Options
1 Class Pass	£15.00
1 Reformer Pass	£25.00
First Floor Class Offer	£5.00
First Reformer Offer	£15.00
Trial	£35.00/week
Yoga Kids - 1 child - 1 Pass	£8.00
Yoga Kids - 1 child - 4 Passes	£24.00
Yoga Kids - 2 children - 1 Pass each	£12.00
Yoga Kids - 2 children - 4 Passes each	£36.00

Yoga Kids - 2 children - 1 Pass each

Pass details:

2 sessions
£12.00
2 children from the same family

Full Name

Email address

Phone number

Date of birth

Gender

Address Line 1

Address Line 2

City

Region

Postcode

Country

Medical/Injury Details

Emergency contact

Full name

Phone number

Revive can send me emails informing me of workshops, offers and updates every now and then.

Start Date

When would you like your membership to start?

Today

A different date

Payment Details

Please enter your payment details below:

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