POWERJYM
THE NEW POWER BOCKING ATHLETIC CARDIO HEALTH SPORT
Jumping Stilts Get Fit With PowerJym the new Power Bocking All Terrain jogging sport cardio provides incredible: endurance stamina , improves reflexes posture walking alignment, helps in physiotherapy for surgery recovery time, Run Again, for all athletes; cyclists to hockey players to martial arts and gymnasts 

Come Join Us at  Born To Ride Bicycle! 
We operate All Year Round!
We have trained over 1000 students

Call:1-855-795-4482

• Private lessons in 15 communities throughout Central Ontario, Canada: Horseshoe Valley, Barrie, Innisfil, Newmarket, Vaughan, North York, Scarborough, Toronto, Etobicoke, Burlington, Waterdown, Grimsby, Milton, and Waterloo, COMING SOON to OTTAWA, GATINEAU QUEBEC

WELCOME TO THE All Terrain HIGH CARDIO SPORT,

POWERJYM

POWERJYMED7803

Get Fit With PowerJym the new PowerBocking Sport 

POWERJYMED7803

Get Fit With PowerJym the new PowerBocking Sport .

Having difficulty in your walking stance, or coordination issues?

• As you work through our training, Our PowerJyms will help you realign and improve posture and positioning, resulting in improved overall coordination.

HOW TO REGISTER FOR POWERJYM POWER BOCKING 

Born To Ride Bicycle: 1-855-795-4482 / 705-718-1606, If you leave a message, no matter how late the call, we will get back you, ASAP.

*children 8 years or younger SHOULD supply their own helmet, AND PROTECTIVE SHIN, ELBOW, KNEE PADS,

PARTICIPANTS/STUDENTS RESTRICTION: Min. Ankle circumference: 6", Maximum weight:205 lbs (new units coming for 205lbs plus)

ALL STUDENTS WILL NEED six to eight FACE CLOTHS, TO SOAK UP PERSPIRATION/SWEAT + added comfort strapped into equipment.

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IT’S A TWO STEP PROCESS:

1. REGISTRATION - fill in form below, After your Registration/form is complete; You will come back to this page to make payment.

2. MAKING PAYMENT - choose from drop down options below

TO SIGN UP 1, 2, ARE TWO SEPERATE TRANSACTIONS.

SINGLE SESSIONS

POWERJYM Power Bocking BASIC High Cardio, Core Strengthening

PJ 1 hr WEEKDAY APR & JUL one student $181.50 CAD PJ 1-1/2 hr WEEKDAY APR & JUL one student $272.25 CAD PJ 1 hr WEEKEND APR & JUL one student $193.60 CAD PJ 1-1/2 hr WEEKEND APR & JUL one student $290.40 CAD PJ 1 hr Weekday Aug-Mar one student $175.00 CAD PJ 1-1/2 hr Weekday Aug-Mar one student $262.50 CAD PJ 1 hr Weekend Aug-Mar one student $164.56 CAD PJ 1-1/2 hr Weekend Aug-Mar one student $246.84 CAD

Session, Reserved Today! by

Contact Cell# and postal code

ADULT & TEENS PACKAGES TWO OR MORE 

POWERJYM Power Bocking PKG DEALS High Cardio and Core Strength

PJ TRI-TRAINING Pkg: 1-1/2 hr 1st time + two 1hr APR & JUL $597.14 CAD PJ DUAL TRI-TRNG PKG 2 STDTS 1-1/2hr 1st time + 2 1hr APR & JULY $1,194.27 CAD PJ QUAD TRI-TRNG PKG 4 STDTS 1-1/2hr 1st time + 2 1hr APR & JUL $2,388.54 CAD PJ 3hr PKG 2 STDTS 3HR APR & JUL $511.83 CAD PJ TRIPLE-TRN'G PKG 2-3 STDTS 3 - 3HRS APR & JUL $1,510.49 CAD PJ Tri-Training Pkg 1-1/2hr 1st time + two 1hr Aug-Mar $507.56 CAD PJ Dual Tri-Trn'g Pkg 2 STDTS 1-1/2hr 1st time + 2 1hr Aug-Mar $1,015.12 CAD PJ Quad Tri-Trn'g Pkg 4 STDTS 1-1/2hr 1st time + 2 1hr Aug-Mar $2,030.24 CAD PJ 3hr PKG 2 STDTS 3HR Aug-Mar $435.06 CAD PJ TRIPLE-Trn'g Pkg 2-3 STDTS 3 - 3HR Aug-Mar $1,280.18 CAD

Session, Reserved Today! by

Contact Cell# and postal code

CHILDRENS PACKAGES TWO OR MORE 

POWERJYM Power Bocking CHILDREN HIGH ENERGY, CARDIO, CORE PKGS

PJ 1-1/2hr WEEKEND CHILD age 13 or less APR & JUL $281.33 CAD 1 hr WEEKEND CHILD age 13 or less APR & JUL $175.01 CAD PJ 3HR PKG 2-3 CHILDREN 13yrs or less APR & JUL $409.46 CAD PJ TRIPLE-TRNG PKG 2-3 CHILDREN 13yrs Or less, three-3hr APR JUL $1,228.38 CAD PJ PKG 1-1/2 hr one CHILD w/one ADULT 19yrs+ APR & JUL $563.01 CAD PJ 1-1/2hr Weekend CHILD age 13 or less AUG-MAR $318.84 CAD 1 hr Weekend CHILD up to age 13 AUG-MAR $144.66 CAD L-Ride Pkg 1-1/2 hr one CHILD w/one ADULT age 19+ AUG-MAR $433.98 CAD PJ 3hour Pkg, 2-3 CHILDREN 13yrs or Less AUG-MAR $348.04 CAD PJ Triple-Trn'g Pkg 2-3 CHILDRN, three-3hr 13yrs Or less AUG-MAR $1,044.12 CAD

Session, Reserved Today! by

Contact Cell# and postal code

Reschedule service charge within 48 hours notice

Reschedule service charge within 48 hours notice $85.00 CAD

This Form cannot be submitted until the missing fields (labelled below in red) have been filled in
Reserve Your Powerbocking Training
Please note that all fields followed by an asterisk must be filled in.
I realize, for best results in training* *	I should book the 1st two sessions within 24-48hours of each other.
Location for Training*	---Select---Horseshoe Valley Ontario Canada Barrie Ontario Canada Orillia Ontario Canada Innisfil Ontario Canada Newmarket Ontario Canada Vaughan Ontario Canada North York Ontario Canada Scarborough Ontario Canada East York Ontario Canada Toronto Downtown Ontario Canada Etobicoke Ontario Canada Milton Ontario Canada Burlington Ontario Canada Grimsby Ontario Canada Kitchener-Waterloo Ontario Canada
I prefer *	a private session One On One I'm Ok with participating in a group session with up to 4 participants I would like to offer my own location/Event, so I can have eight 8 participants or more been trained(restricted by weight classifications), I realize additional travel time charges will apply. and maximum of 4 adult POWERJYMS, 4 Children's will be supplied
Other Preferred/EVENT location/Address w/postal code:
Number of participants
List Name of participant(s) and weight
CUSTOMER, First and Last Name*
Last Name*
E-Mail Address*
Street Address
C I T Y and Postal / Zip Code*
State/Prov
Zip/Postal Code*
Cell Phone 1-*
Preferred Day(s)	Monday Tuesday Wednesday Thursday Friday Saturday Sunday
Preferred time(s)	6am 9 am 12 pm 3 pm 5:30 pm 8 pm
I Would Preferred the following dates, if they become available (give two)
What motivates you (student) to learn the sport of Power Bocking??
I want to power bock, so I can*	complete my Bucket list have some fun! trying something NEW! Get active again. Boost my immune system Sweat and burn off excess weight increase cardio stamina, and CORE strength increase my anaerobic/aerobic workouts, increasing Oxygen and energy levels Increase my flexibility, help strengthen and overcome an injury or reduce recovery time of a surgery To stretch and strengthen leg muscles to support joint issues overcome physiotherapy issues get rid of or alleviate a irritating and painful sciatic nerve issue take my sport to a whole new level Improve my Walking stance and posture Stimulate and reduce OSTEOPEROSIS issues
I agree that	Even though we have had a successful track record benefiting greatly from using the PowerJym excercise program. I am aware that, If I have any back, hip, knee, heart, cardiovascular, joint or degenerative bone issues or a recent surgery, I will be using the PowerJym equipment, and participating in the PowerJym excercise program at my own risk!
I acknowledge that *	the training I experience, will push me beyond my levels of comfort and pain. And I will need to set my own limitations, and I will not hold anyone responsible for my actions. I realize It is my responsibility to complete stretching exercises before , during and after any extensive workout.
I will *	supply my own elbow, shin and Knee pads, shin pads are useful to provide additional support around narrow ankles ; I am 8 years or younger, and must supply my own elbow, knee, shin pads and helmet, I realize shin pads are required to secure small or narrow ankle bones need elbow, ankle and Knee pads for my session
I will*	BRING TWO BROOM HANDLES OR POLES (4-5FT+) TO ASSIST ME IN LIFTING MY BODY WEIGHT, AND ASSIST MY 1ST TIME WALKING STANCE HAVE A PARTNER TO ASSIT ME IN LIFTING MY BODY WEIGHT, IN MY 1ST TIME WALKING STANCE.
I will*	supply my own helmet (bicycle or other sport) need a helmet
HELMETS: L, M, S Teen/Adult (if required)
Because ALL participants sweat excessively*	I will bring rags or at least 6 to 8 face cloths (or similiar) to wrap around leg and ankle areas to soak up sweat and perspiration, which also helps to provide more strength and comfort when applying pressure on the strapping/supports of the POWERJYMs
Does the student have a learning disability, mental or physical challenges or health issues?*	Yes, a caregiver and or parent will be available to assist the trainer with the student No
If health or Learning issues are existing, provide an explanation with a link to a page to assist your trainers understanding
Is there anything else you would like to add?
I agree to the following*	I realize by completing this form, I accept all risks, inherent injuries, and waive all liabilities and compensations from Born To Ride Bicycle and/or their employees, as well as all organizations/persons that own or manage the lands, and or the event, that we use for training. Born To Ride Bicycle or its employees will not be held liable for any mental stress or physical injuries. I agree that my trainer has my permission to use any or all techniques and methods to help inspire, motivate, to yield successful results, by encouraging mental growth and developing successful skill sets we define as strong leadership skills
I acknowledge*	We all grow and mature through perseverance, when you make mistakes you learn, when you learn from your mistakes, you develop experience, and become better equipped for life's challenges. In education you learn from others, other people’s experiences, that they have had made, through trial and error to attain knowledge. We combine both Experience and knowledge to help you accomplish your goals by taking action. By working with our trainers and having faith, believing you can achieve and actually achieving your goals, you create a higher level of confidence and belief. As you venture more into new experiences, your knowledge and experience accelerates, becoming more successful in life! Eventually you will inspire others to do the same. We look forward to seeing you soon!
My goals are*
In preparation for my training session(s), I will complete the following activities sports and/or exercises*	Swimming 2-4 laps within 10 minute Swimming 3-5 laps within 15 minutes Swimming 5-10 laps within 30 minutes Swimming 10-15 laps within 40 minutes Swimming 15-25 laps or more within 60 minutes I dont know how to swim roller blading I dont know how to roller blade Running / jogging 2-5 kilometers within 30 minutes Running / jogging 5-10 kilometers 50 minutes Running / jogging 10-20 kilometers within 100 minutes Running / jogging 20-50 kilometers within 250 minutes Swinging on a swing with no assistance, combined with other outdoor sports for a minimum of 2 hours climbing monkey bars combined with other outdoor sports for 2 hours mountain climbing Climbing trees combined with other high cardio exercise's for 2 hou 1-1/2 hour spinning classes 2 hour spinning classes 3 hour spinning classes walking up and down 4 -6 flights of stairs for 2 hours walking up and down 10-20 flights of stairs for 2 hours walking or hiking 20-40 kms playing basket ball for 2 hours non-stop Soccer for 2 hours non-stop Parkour ALL Assigned exercise's mentioned in the Confirmation email playing in the park on all the recreational equipment for 2 hours Other high cardio/intensity sports for 1-1/2-2hours, non stop
Other Cardio/intensity
How often will you complete the above sports/exercises prior to your session(s)?*	1-3 times 3-6 times 6-9 times 9-12 times 12-15 times 15-18 times 18-21 times other
Other
When I finally meet*	My trainer, I will share my accomplishments on the sports/exercises I completed prior to the session.

Notice: The sport of PowerBocking maybe referred to as an extreme sport, and may not be for everyone, but our trainers are patient in assisting you to reach your goals.