Simmons College

* First Name:

* Last Name:

Phone Number:

* Email Address:

Note: This will be the email that you will receive correspondence from and is subject to Simmons' privacy policy.

What is Your Affiliation to Simmons?

Choose One... Simmons Undergraduate Student Simmons Graduate Student Simmons Faculty / Staff Simmons Alumnae COF Undergraduate Student COF Graduate Student COF Faculty / Staff Other

Dorm and Floor number, if you are a Simmons student:

Please indicate which classes you intend on participating in below. Note: this does not guarantee a slot in this course.

All Inclusive Package

This grants you admission to all Wellness, Dance and Fitness classes, except for Spinning, for one great price!

All Inclusive Package ($75)

Wellness Classes

Yoga for Relaxation ($25)

Dance Classes

Intermediate Ballet ($45)
Cardio Funk ($25)
Hip Hop ($25)
Zumba ($25)

Fitness Classes

Spinning ($50)
Yo-Bo ($45)
Cardio Kickboxing ($45)
Firm and Burn ($45)

Aquatics Classes

Learn to Dive ($25)
Fun Time Splash ($25)

Note: You must schedule sessions with Erica Mastrogiacomo 617-521-1037. Sessions are non-transferable and non-refundable. Sessions expire May 1st, 2009. 24-hour notice of cancellation is required to avoid being charged for session.

Individual Packages (1 person)

Jump Start: 3 sessions - 45 minutes each ($75)
Steady Trainer: 8 sessions - 45 minutes each ($250)

Buddy Up Packages (2 people)

Smart Start: 3 sessions - 45 minutes each ($70/person)
Fit4Two: 8 sessions - 45 minutes each ($200/person)

Small Group Training Packages (3-4 people)

Kick Start: 3 sessions - 45 minutes each ($65/person)
Boot Camp: 8 sessions - 45 minutes each ($175/person)

Let us know if you have any special requests or comments:

After submitting your registration you will receive an email confirmation. Please print out the email and bring it to the Front Desk in the Sports Center to pay for your class(es). The email confirmation must be handed in at the time of payment.

Acceptable forms of payment:

• Fenway Card
• Checks - payable to “Simmons LEAP”
• Money Orders - payable to “Simmons LEAP”

To add value to your Fenway Card please visit http://fenwaycard.com/addvalue.htm

Please note: No Cash, Credit Cards or refunds.