First Name
Last Name
Email
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Phone
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Date of birth
Address
City
State
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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Surgeries? Ailments/Injuries you are being treated for?
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Biggest struggles you foresee with pursuing your goals now?
Goals What are your health/fitness/nutrition goals? Lose weight? If so, how much? Learn how to lift weights? Fight against family history? Get accountability to these goals? Improve athletic performance? If so, what specifically--speed, jump height, etc?
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Which services do you want to learn more about?
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Online App $29.99
Weekly Classes- Cost Varies by Attendance
Personal Training- Cost Varies by Program
Nutrition $75+
Movement Assessment $65
DARI Motion $75
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Preferred Method Of Contact
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SMS (Text) / Phone call
Email
Any
Preference for a Coach/Trainer:
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Anna Woods
Dustin Crabbs
Raven Williams
Katy Longhofer
No preference
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