A Fit Mom's Club Pre-Training Form
This form gives our Strollercize Instructors and our Online "Personal Changers" the information needed to help you get fit F.A.S.T.E.R. You can start training right away at home, in the park or in one of our classes.

Text Support: 917 435 6455

What can Strollercize® do for you? *
What Stage of Motherhood are you currently in? *
If you are Pregnant, please let us know what month you are in!
How did you hear about Strollercize®? *
Your answer
Full Name *
Your answer
Email *
Your answer
City You Live In *
Your answer
Mobile # *
Your Trainer will give you their number when they contact you.
Your answer
How Many Kids? *
Type of Delivery *
How much do you gain during pregnancy? *
Your answer
What are your fitness goals? *
Your answer
List any medications you are taking so we can modify exercises if need be. *
Your answer
Do you have any of these aches and pain? *
Please let us know of surgeries too! Our trainers will get this info to help you have a good experience.
Do You Like To Workout? *
Your answer
What kind of Stroller are you pushing? *
Your answer
Strollercize uses The RollerSizeR to make fitness easier for our Moms by supporting their neck and low back in Core Training. It is also used to strengthen the Wee Wee Muscles. Have you heard of the RollerSizeR before?
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