Submission Form For MK Fitness Boot Camp
Location : 9029 Copeland Road Tampa Fl. 33637 Bootcamp Express 45 min session Class times : Mon-Fri 5:30am-6am ,6:30am, 6:45am & 6:45 pm - 7:30 pm Fast Results - 3-5% Reduction In Body Fat- 5-12 Lbs In weight loss - 1-3 Inch decrease In mid section. Within 30 Days!
Full Name *
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Email *
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Phone *
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How did you hear about MK fitness boot camp?
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Desired Start Date *
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Desired Class Time *
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What frustrations do you experience when trying to get in shape? *
Your answer
What is the biggest obstacle you have faced while trying to get in shape? *
Your answer
What goals are you looking to achieve in your fitness? *
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How committed are you on a scale of 1-10
Date of your last physical? *
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Are you wearing an internal heart regulating device such as a pace maker, or are you pregnant? *
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Has your doctor advised that you need to exercise? *
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Are you currently taking doctor prescribe medication? *
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Are you on a diet prescribed by a dietitian? *
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Have you sustained any injuries that may require exercise modifications? *
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Emergency Contact Information Full Name and Phone# *
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