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FYTLOUNGE Online Registration Form
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Email
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1. Basic Details
Full Name
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Your answer
Age
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Your answer
Gender
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Male
Female
Other
Phone Number (Whatsapp)
Your answer
Email Address
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Your answer
Location (City, Country)
Your answer
2. Fitness Goals and Preferances
What are your primary fitness goals? (Select One)
Fat Loss
Muscle gain
Strength & Performance
General Fitness & Well-being
Sports / Athletic Training
Posture Correction and Injury Rehab
Other
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If others please specify
Your answer
Your Preferred Training Methods
Strength Training
HIIT (High-Intensity Interval Training)
Yoga
Pilates
Dance Fitness / Zumba
Kickboxing
Kalaripayattu
Mixed Martial Arts
Meditation & Mindfullness
Other
If Others (Please specify)
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Do you have access to a gym or workout equipment
Yes
No
Limited Equipment
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3. Health & Lifestyle
Do you have any medical conditions or past injuries?
Yes
No
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If yes Please specify
Your answer
Are you currently under any medication?
Yes
No
Membership Selection (Choose One)
One-on-One Online Training (Workouts Only) – Monthly
One-on-One Online Training (Workouts + Diet Plan) – Monthly
One-Time Custom Workout Plan (Valid for 4 Weeks, No Coaching)
One-Time Custom Diet Plan (Valid for 4 Weeks, No Coaching)
One-Time Custom Workout + Diet Plan (Valid for 4 Weeks, No Coaching)
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4. Payment & Final Steps
Preferred Payment Method?
UPI
Bank Transfer
Other
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Any specific concerns or expectations from the program?
Your answer
Confirm that you are ready to start by submitting the form. Our team will contact you with the next steps!
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