Name: (Please Print)____________________________________________.

Address: _____________________________________________________.

City/Prov: ___________________________. Postal Code: _____________.

Telephone (Home): _________________.(Business):__________________.

Email Address: ______________________________________.

Referred by: ________________________________________.

Date of registration: (dd/mm/yy) _______/_______/_______.

Please note the terms and conditions of sessions.

I understand that Profound Body requires twenty-four (24) hours notice for any change or cancellation and that: I will be billed for any session booked if twenty-four hours notice is not given.

All pre-paid sessions are fully transferable but not refundable.

We strongly enforce our cancellation policy primarily for the reason that your reservation prevents another client from booking in that time slot. This policy applies to all classes including groups.

Signature:___________________________ Date:___________________