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Thank You

Welcome

Thank you so much for joining the Academy Prep Program.  I am excited to work with you on your journey as we prepare for the Academy.  To help us both get started, please complete the form below.

I can’t wait to work with you!

Steve

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Information & Health History - Academy Prep

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.)