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1.
Yes
2.
No
3.
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I want to improve my overall level of fitness.
I want to get stronger.
My core/midsection needs some help.
I want to train for an endurance event .
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Starting out or over
Fairly active
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5
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Section 2 of 2
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Your Name
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Age
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Address, City, State and Zip
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Cell Number
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Emergency Contact Info (Name and Tel Number)
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Physical Limitations/Restrictions?
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Please share any physical limitations/restrictions if you answered Yes above.
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Areas of Interest
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On a scale of 1 to 5 what is your current level of fitness?
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If you have any questions please contact Keli Honsberger at outfitmarin@gmail.com.
Waiver - As a participant in this program I understand that it will require physical exertion.
By printing my name below I affirm that I am in good physical condition and assume full responsibility for any risks, injuries or damage known or unknown which I might incur as a result of participating in any in person or online classes presented by Keli Honsberger.
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