Registration for for JetawayFit

1. JetAwayFit Registration Form - April 21-28, 2012
Coco Bay Estates, Costa Rica
Booking For:
[ ] March 24 - 31, 2012 Instructed by Shay McKelvey, San Diego CA
[ ] April 21 - 28, 2012 Instructed by Alexa Zaledonis, Annapolis MD
Name: ________________________________________________________________
Address: ______________________________________________________________
______________________________________________________________________
Email Address: ________________________________________________________
Phone: _______________________________________________________________
Room T ype: [ ] Regular Single, full or queen bed, private bath: $1800
[ ] King Single, private bath $2100
[ ] Double - twin beds $1550
[ ] Double - king bed (shared) $1550
If double, who is your roommate? Name: ___________________________________
(If you don’t have one, we can assign one for a twin bedroom only)
Is there anyone you want to share a condo with? ___________________________
______________________________________________________________________
$500 deposit due with registration to hold your spot; 50% due January 31; balance
due 14 days before arrival. May be paid by check, credit card or wire transfer. Credit
card and wire transfer instructions available online at www.jetawayfit.net
Checks and registration may be mailed to:
Marie Dall’Acqua
238 King George Street
Annapolis, MD 21401
or, scan and email to marie@jetawayfit.net 410-353-1552