Date:*
Gender:*
Name:*
Birthdate:*
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 / 
Address:*
Phone:*
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E-mail:*
Emergency Contact Name:*
Emergency Contact Number:*
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Emergency Contact Relationship:*
What days are best for you to participate in the program? (check all that apply)*
What time of day is it best for you to participate in the program? (check all that apply)*
Height:*
Weight:*
Chest Size:*
Waist Size:*
Hip Size:*
Arm Size:*
Please describe your training goals briefly:*
How would you rate your motivation towards your training goals?*
What is the main motivating factor behind you joining a training program?*
Are you satisfied with your weight? If not, what body weight would you like?*
Are you motivated enough to follow a rigorous training regime for up to 3 months with a controlled diet?*
Have you been training in the last year? If yes, please describe any improvements in your fitness level.*
What are the main things that you are looking forward from the training program?*
How many months are you ready to spend to achieve your objectives?*
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