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1:1 Application form
After you fill out this order request, we will contact you to go over details and time slots, but if you require any more info please contact us at
janet@rigstrength.com
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Email
*
Your email
Are you a new or existing client?
I am a new client
I am an existing client
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If you are an exisiting client, please tick which applies
*
Past client
Group Fitness
Weight loss challenge or Nutrition client
Required
Briefly explain how I can help you with your exercise goals?
Your answer
What is it about training do you feel is holding you back from reaching your goals?
Your answer
Do you have any of the following
*
Heart disease
Asthma or shortness of breath
Thyroid or any auto immune disease
Type 1 or Type 2 diabetes
Any other medical requirements that may affect lifting weights
Other:
Required
Have you ever been told not to exercise?
Your name
*
Your answer
Phone number
*
Your answer
E-mail
Your answer
Preferred contact method
*
Phone
Email
Other:
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Questions and comments
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Payment Link
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