Name* First Last Email* Enter Email Confirm Email Would you like to sign up for unlimited classes or a specific program?* Specific Program Unlimited Classes Unlimited Classes gives full access to all Physical Therapy Exercise classes including Active Adult Exercise, Core Strength with Pilates, Yoga for Healthy Aging, and Tai Chi for Arthritis and Fall Prevention.How long would you like to sign up for unlimited classes?* 12 Weeks - Starting April 6 4 Weeks - Choose dates Select a Four Week Period* April 6 - April 30 May 4 - May 28 June 1 - June 29 Which class are you interested in?* Active Adult Exercise Core Strength and Stretch Yoga Tai Chi for Balance How many classes would you like to sign up for?* 12 Weeks - Starting April 7 How many classes would you like to sign up for?* 4 Weeks - Starting April 8 4 Weeks - Starting May 6 4 Weeks - Starting June 3 12 Weeks - Starting April 8 How many classes would you like to sign up for?* 4 Weeks - Starting April 6 4 Weeks - Starting May 4 4 Weeks - Starting June 1 12 Weeks - Starting April 6 No class May 25How many classes would you like to sign up for?* 12 Weeks - Starting April 6 No class May 25PaymentTotal $0.00 Credit Card* American ExpressDiscoverMasterCardVisaSupported Credit Cards: American Express, Discover, MasterCard, Visa Card Number Month010203040506070809101112 Year20222023202420252026202720282029203020312032203320342035203620372038203920402041 Expiration Date Security Code Cardholder Name Billing Address* Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Δ
