28 Day Stronger At Home
SELECT A PRODUCT
Item
Price
$60 + hst
BIlling Information
Full Name
email address
PHone number
street address
city
zip code / postal code
state / providence
country
Credit Card Number:
CVC Code:
Expiry Month:
Expiry Year:
 ORDER DETAIL
Item
amount
Dynamically Updated
$XX.00
By completing this order form I agree, acknowlege and appreciate that I am doing so at my own risk. I am aware of my own health and physical condition, and having knowledge that my participation in any exercise and nutrition program may be injurious to my health, am voluntarily participating in physical activity with .
Having such knowledge, I hereby release Alissa Blais and Blais Performance , their representatives, agents, or successors from liability for accidental injury or illness which I may incur as a result or participating in the said physical activity. I hereby assume all risks connected therewith and consent to participate in said program.
I agree to disclose any physical limitations, disabilities, ailments, or impairments which may affect my ability to participate in said fitness program.

All orders are through a very secure network. Your credit card information is never stored in any way. We respect your privacy...
Copyright C. BLais Performance and wellness
Powered By ClickFunnels.com