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PRODUCTS	PRICE	CURRENCY	TOTAL
Zing Performance	$297.00 followed by 11 monthly payments at $297.00.		$297.00
Subtotal			$297.00
Total due			$297.00

PRODUCTS Zing Performance
PROGRAM PRICE $297.00followed by 11 monthly payments at $297.00.	$297.00
TOTAL	$297.00
Subtotal	$297.00
Total due	$297.00

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Participant Date of birth (this is used to make sure the user is assigned the correct program)

How did you hear about us?

Can the participant safely perform physical activities such as standing on one leg, marching, turning, bending at the waist? If you are unsure please consult your Doctor.

Does the participant have any injuries, diagnosis, conditions or information of importance that may affect their ability to perform exercises safely (this includes pregnancy)? If unsure please consult a medical Doctor.

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