NEW FITNESS PROGRAM

FITNESS PROGRAM

MOMENTUM FITNESS WARRNAMBOOL
Date*

DayMonthYear
Date
Name*

First NameLast Name
Age*
Date of Birth*

DayMonthYear
Date
Best Contact*

MobileEmailFacebook/Messenger
Best Contact Details*
Height
Weight
Have you been to a gym before?*

YesNo
Are you currently training?*

YesNo
If Yes, how long have you been training for?
How many days do you train?
Are these consecutive days?

YesNo
What are your goals?*
If other, please explain:
Do you have a sporting back ground?*

YesNoYes - but a very long time ago
If yes what sport do you play?
Or use to play
Do you have any injuries past or present?*

YesNo
If yes what is your injury?
If past is this still an issue?
Would you like to be taken through your program?*

YesNo
Pease choose the option that suits you and follow the prompts for payment. Once you hit SUBMIT you will be taken to the booking link, please choose a time and day that suits you to go through your program with one of your Trainers.

My Products*

2nd Fitness Program$35.00AUD

You will receive your Program via email or you can collect it from the front counter.

Fitness Program and Run Through$55.00AUD

You will receive your program when you come in to go through it with one of the trainers.

Total $0.00AUD