First Name
*
Last Name
*
Email
*
Phone Number
*
How did you hear about the sessions?
*
Friend
Trainer
Facebook
Banner
Google
Others
Name of your friend/trainer/referrer (if applicable)
What location would you like to train at?
*
Cherrybrook
St Ives
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Do you suffer from?
Arthritis
Diabetes
Epilepsy
Bone or joint problems
Back problems
Heart Condition
High/Low Blood Pressure
Liver/Kidney Condition
Muscle Tension
Sports Injury
Asthma
High Cholesterol
Heart Trouble
Chest Pain
Other
What are your goals?
Weight Loss
What are your goals?
Increase Fitness
Improve Muscle Tone
Are your restricted from certain exercises?
*
Yes
No
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Are you Pregnant?
*
Yes
No
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Are you a Full Time Student 24 years or Under?
*
Yes
No
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Do you have a baby under 1
*
Yes
No
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What time are you available to train
6am to 9am
9am to 11am
3pm to 6pm
6pm to 8pm
What day/days are you available to train?
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday
Select Session
*
Group Training
1on1 Training
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When would you like your training to commence?
*
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terms & conditions
provided by the company. By providing my phone number, I agree to receive text messages from the business.
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