Reaction Fitness Scholarship
Email address *
Personal Information
Name *
Address *
Phone Number *
Age *
DOB *
MM
/
DD
/
YYYY
Are you currently a student? *
If yes, what year are you and where are you enrolled? *
If enrolled in college, what is your major? *
Ethnicity *
Gender Identity *
Fitness History
Have you been a member of a gym before? *
If yes, please describe your experience, when were you a member, and how long were you a member there? *
Have you been active in the past year? If yes, please describe your fitness experience in as much detail as you prefer. *
Please describe any injuries and/or disabilities that we should be made aware of.
Reaction Fitness Collective
Tell us how you heard about Reaction Fitness and why you are interested in joining? Please include your goals, fitness or otherwise, and how you see us helping you achieve those goals. *
Based on our class schedule, what class/s time would you be able and most likely to attend? Please select your top 2 choices. *
Finance/Employment
Are you employed? *
If yes, please tell us about your current employment status. Include place of employment, job description, hours/week.
Our current membership rate ranges between $150-200 monthly. This includes professional coaching, injury prevention and modifications as necessary. At what financial level are you comfortable committing to monthly? *
If we are able to meet your financial needs, would you be willing to commit to 3 months minimum of attending at least 3 classes per week? *
Other
Please provide any more information you'd like for us to take into consideration. Thank you for your interest in Reaction Fitness Collective!
Submit
Never submit passwords through Google Forms.
This form was created inside of Crossfit Reaction. Report Abuse