Fitness Registration Form

Note: To register on this site you'll need to use your Pirate Card to pay and will need to have sufficient funds in your Pirate Card account in order to have your registration processed.

If you have questions, you may contact at us SIRA@southwestern.edu or call 863-1665.

Name
E-mail
Phone

Pirate Card Number

Choose the class(es) you wish to join from the list below

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Tuesdays at 7:00pm
(Fall II, Oct. 20 - Nov. 10)

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Tuesdays and Thursdays at 5:15pm
(Fall II, Oct. 15 - Dec. 3)

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Noon-time Cardio - Cost $25.00

Mondays and Wednesdays at 12noon
(Fall II , Oct. 14 - Dec. 2)

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Pilates Level II Progressive
Intermediate Class - Cost $45.00

Note: Prior Level I experience
is required to participate

Tuesdays and Thursdays at 12:00noon
(Fall II, Oct. 15 - Dec. 3)

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Yoga - One day/week - Cost $18
Yoga - Two days/week - Cost $35
Yoga - Three days/week - Cost $50

Now, pick which class(es) you'll attend:

Mondays at 5:30pm
Wednesdays at 5:30pm
Fridays at 12noon
Fridays at 1pm

(Fall II, Oct. 14 - Dec. 4)

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Comments/questions about class (not a required field)

Upon submiting this form you will receive an e-mail from SIRA within one working day acknowledging your payment and confirming your place on the class roster.