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THANK YOU

For joining the FireFit-For-Life Program

I want to assure you that I've received your payment and I'm going to be in touch with you very shortly after you complete the form below.

I'm so pumped that you have decided to work with me.  I hope you're as excited as I am because this is going to be EPIC!!  

I will personally be contacting you in the next 24 hours so be sure to complete the form below so we can start to rock our Fitness Journey... together! 

Talk Soon...Your Coach

Steve 

P.S. Please complete this registration form so I can schedule our phone call:

FIREFIT FOR LIFE REGISTRATION FORM

Information & Health History - FireFit For Life

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.)

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