First Visit Registration Form
Welcome to JL CORE!

Please complete all required fields below:

Date :

First & Last Name :

D.O.B :

Adress :

City/Province :

Postal Code :

Mobile Phone :

Home Phone :

Your Email :

Occupation :

Emergency Contact :

Relationship :

Phone Number :

It is compulsory that you print - complete and sign the PAR-Q questionnaire that the web-site with JL prior to taking part in any classes or services JL Core offers.