2018 Kettlebell AMPD Instructor Convention Registration (Payment Plan)

Thank you for your interested in the 2018 Kettlebell AMPD Instructor Convention!!  Please complete all of the information below.  Fields marked with '*' are required to complete your registration.  

Personal Information

Basic Registration Options

A $10 administrative fee for the payment plan option will be due now.  All other options below will be included in your payment plan.  
Registration Type *

Pre-Convention Options (Friday March 9, 2018)

9 AM - 5 PM *
10 AM - 12 PM *
1 PM - 4 PM *

Convention Options (Saturday March 10, 2018)

All Saturday sessions are included in your registration costs.  Optional sessions below are at an additional expense.
1 PM - 3 PM *

Post-Convention Options (Sunday March 11, 2018)

9 AM - 5 PM *

Payment Information

The information entered below will be used to setup an automatic payment plan.  Please note that all payments must be completed by February 28, 2018.
Please select the payment frequency that you would like to have your credit card charged: *
 +
I authorize You Rock Fitness, LLC (parent company of Kettlebell AMPD) to charge the credit card indicated in this authorization form according to the terms outlined above. This payment authorization is for the services described above, for the amount indicated above only, and is valid for recurring payment indicated above only. I certify that I am an authorized user of this credit card and that I will not dispute the payment with my credit card company; so long as the transaction corresponds to the terms indicated in this form. Please sign below using your mouse: *
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