CASA MARIANNA
Marianna Padilla
Personal Trainer, Instructor, Presenter

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Registration Form

Registration Form

                          Complete this form to register for your class or workshop.

First Name:
Last Name:
Address Street 1:
Address Street 2:
City:
State:
Zip Code: (5 digits)
Home Phone:
Cell Phone:
Email:
Class/Workshop:
Dates:
Fee:
 Payment Type Check
 
Send Check To:
Bill me through PayPal (All credit cards accepted)

Marianna Padilla
4416 Pleasant Ave So
Mpls, MN 55419
Comments or dietary
Restrictions:

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