Please enable JavaScript in your browser to complete this form.Name *FirstLastAddressPhoneEmail *Waiver: *I will in no way hold Jacqie Stathis or any instructor listed on this website responsible for any personal injury or ailment due to strenuous activity or exercise. I am aware of all the risks associated with physical activity and state that I am in good health, and have seen a physician for approval for any exercise I participate in.WebsiteSubmit