Virtual Training Fit Camp Registration
Thank you for your participation! Please fill out this form so I can learn more about you and your goals!
Email address *
Name: *
Your answer
Date: *
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YYYY
Age: *
Your answer
Phone: *
Your answer
City: *
Your answer
Current Weight: *
Your answer
Goal Weight: *
Your answer
Is there any previous injuries, surgeries, and/or current medical issues I should be aware of?
Your answer
Are you pregnant? *
If newly postpartum, how many months? *
What is your activity level? *
What are your fitness goals? *
Your answer
You will be given 2 independent workouts per week to do on your own aside of your virtual classes with me. Do you prefer home workouts or gym workouts? *
Are you a healthy eater? *
Your answer
Read the following statements below:
I understand that it is my responsibility to consult with a physician prior to and regarding my participation in this Fitness Program. *
I assume full responsibility for any risks, injuries or damages that may occur as a result of participating in the program. *
A copy of your responses will be emailed to the address you provided.
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