1.First name 

2.Last name 

3.Email address

4.Phone number

*5.Livestreaming WERQ Terms:
Licensed WERQ Instructors may livestream WERQ Classes temporarily until further notice is given in 2021.
· You must be a Licensed WERQ Instructor.
· Classes may not be posted, recorded, or embedded for later use.
· You are solely responsible for obtaining any necessary licenses to play music in your livestreaming WERQ classes. WERQ Fitness will not be responsible or liable for any claims or payment demands related to the unauthorized use of commercial music in your WERQ classes.(Required.)

Yes, I agree to terms