FIRE-FIT-30-DAY_WHITE_500

THANK YOU

For joining the 30-DAY FIT CAMP

PLEASE COMPLETE YOUR REGISTRATION BELOW

Information & Health History - 30-DAY FIT CAMP

This form is a complete profile of your personal contact information as well as current physical condition and goals you wish to achieve. I very much appreciate you taking the time complete this form as fully as possible.

  • Date Format: MM slash DD slash YYYY
  • A copy of this form will be sent to this email address.
  • EMERGENCY CONTACT:

  • HEALTH HISTORY:

  • PLEASE INDICATE IF YOU HAVE ANY OF THE FOLLOWING:

  • LONG TERM GOALS AND OBJECTIVES FOR YOU AND YOUR BODY:

  • Specific Body Areas: (ie; arms, legs, abs, glutes, etc.)