Simpli Strong Please enable JavaScript in your browser to complete this form.1Contact2Program3PaymentName *FirstLastEmail *Date of birth *Address *Address Line 1Address Line 2CityState / Province / RegionPostal Code--- Select country ---AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBolivia (Plurinational State of)Bonaire, Saint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos (Keeling) IslandsColombiaComorosCongoCongo (Democratic Republic of the)Cook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzech RepublicCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatini (Kingdom of)EthiopiaFalkland Islands (Malvinas)Faroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHondurasHong KongHungaryIcelandIndiaIndonesiaIran (Islamic Republic of)IraqIreland (Republic of)Isle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea (Democratic People's Republic of)Korea (Republic of)KosovoKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesia (Federated States of)Moldova (Republic of)MonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth Macedonia (Republic of)Northern Mariana IslandsNorwayOmanPakistanPalauPalestine (State of)PanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint Martin (French part)Saint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint Maarten (Dutch part)SlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyrian Arab RepublicTaiwan, Republic of ChinaTajikistanTanzania (United Republic of)ThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUgandaUkraineUnited Arab EmiratesUnited Kingdom of Great Britain and Northern IrelandUnited States Minor Outlying IslandsUnited States of AmericaUruguayUzbekistanVanuatuVatican City StateVenezuela (Bolivarian Republic of)VietnamVirgin Islands (British)Virgin Islands (U.S.)Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland IslandsCountryHow did you find out about the Simpli Strong program? *GoogleInstagramReferralOtherWho referred you?Terms of Service *I have read and agree to the Terms of Service *Please read these Terms of Service ("Terms", "Terms of Service") carefully before using the Simpli Strong program (the "Service" operated by Dan North Fitness Inc.). Your access to and use of the Service is conditioned on your acceptance of and compliance with these Terms. Exercise Waiver I hereby agree to participate in the exercise program given by Dan North Fitness Inc. (hereafter referred to as “The Company”) upon the understanding and condition that: 1. I acknowledge that The Company has advised me of medical risks that may result from such participation and represent to The Company that I have consulted my personal physician if I have been advised to do so by the PAR-Q and I am physically capable of such participation without injury. 2. I am aware of the medical risks associated with participating in an intense exercise program, including the possibility of injuries resulting from the activities performed such as jumping, weight lifting, and all other physical activities associated with the exercise program. 3. I recognize the risks of illness or injury inherent in a group exercise program and am participating in The Company’s program upon the express agreement and understanding that I am hereby waiving and releasing The Company from any and all claims, costs, liability, expenses or judgments including attorney’s fees and court cost (herein, collectively “Claims”) arising out of my participation in The Company’s programs or any illness or injury resulting there from, and hereby agree to indemnify and hold harmless The Company from and against any and all such Claims. 4. I hereby execute and deliver this waiver and release to induce The Company to permit me to participate in its program. Fee Schedule You hereby agree to pay on a monthly (four-week) recurring basis. Cancellation Policy You may cancel your subscription to the Service at any time. No refunds are available. DISCLAIMER: Please be advised that there are risks involved in participating in any exercise or training program. By participating in the Simpli Strong program, trainees are assuming all risks of injury that might result. Dan North Fitness Inc. shall not be liable for any claims for injuries or damages whatsoever, resulting from or connected with the use of this program and material. We further disclaim any liability caused by intentional or unintentional negligence. Always seek the advice of your physician or other qualified healthcare provider before undertaking this or any exercise or training program.NextChoose your program type: *3-Day Split4-Day SplitWhich days would you like to train? *Mon/Wed/FriTue/Thu/SatWhich days would you like to train? *Mon/Tue/Thu/FriTue/Wed/Fri/SatNextChoose your membership type: *$49.95 per month (program only)$99.95 per month (program plus technique feedback)Prices are in CAD. HST charges apply. You can cancel your membership at any time. Credit Card *CardName on CardSubmit