First Name
Last Name
Email
*
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.
Surgeries? Ailments/Injuries you are being treated for?
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?
Which services are you interested in learning more about?
App - $29.99
Weekly Classes-Varies
Personal Training-$50-65
Initial Consultation $65-75
I agree to
terms & conditions
provided by the company. By providing my phone number, I agree to receive text messages from the business.
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