First Name
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Last Name
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Email
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Phone
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Date of birth
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Age
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Address
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City
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State
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Injuries/Medical Conditions Please record any injuries/medical conditions that will affect my fitness/health pursuits... If you have an injury, please designate right or left side of the body.
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Goals What are your health/fitness/nutrition goals? Learn how to lift weights? Improve athletic performance? If so, what specifically--speed, jump height, etc?
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How did you hear about us?
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Which location will your child be training at?
Hutchinson Location
Wichita Location
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