Hello and Thank you!
Please take a few minutes to fill our New Client Intake form. This form allows us to see where we can schedule you and what some of your basic goals may be.
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First and Last Name *

 
Date *

 
Home Phone

 
Cell Phone

 
Work Phone

 
Preferred Method for Contact *


 
What service/s can we help you with? *


 
Please choose between our recommended 2 and 3 day training schedules.

When considering exercise, it is important to schedule your training sessions in a consistent manner. It can help reduce injuries, improve performance, and help with recovery times, along with many other great benefits.

 
What are you some of your general goals with us? *


 
Where do you want to train?


 
Do you have any events coming up?


 
Do you currently work with another exercise and or nutrition professional? *

     
 
Please list the name and provide the number of your current exercise and or nutrition professional.

 
Please list any medical considerations or limitations that you may have.

 
If you know that you need to have a medical release form, please download the PHYSICIANS RELEASE DOC in our DOCUMENT's page. If you do not know please see the PARQ and/or RISK FACTOR documents.

 
Please list and provide the phone number to your primary care physician. *

 
Who if at all referred you to train with us?

 
Thank you for your time. We will reply as soon as possible.

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