Mitch Fit Registration Form

Client Name

First NameLast Name
Mitch Fit Training
Age
Birth Date

MonthDayYear
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Home Number

Area CodePhone Number
Cell Number

Area CodePhone Number
E-mail
Emergency Information
Emergency Contact's Name

First NameLast Name
Phone Number

Area CodePhone Number
Relationship
Info

Once payment is submitted, I was scheduled an evaluation. Phone call. When we will go over information as far as details of fitness goals, and eaten habits. Also, please make sure you have a scale on hand during time of schedule phone call
Confirmation

BY ACKNOWLEDGING AND SIGNING BELOW, I AM DELIVERING AN ELECTRONIC SIGNATURE THAT WILL HAVE THE SAME EFFECT AS AN ORIGINAL MANUAL PAPER SIGNATURE. THE ELECTRONIC SIGNATURE WILL BE EQUALLY AS BINDING AS AN ORIGINAL MANUAL PAPER SIGNATURE. Which will require you to fulfill your contract of four weeks of training must give a 48 hour notice in order to cancel and stop payment

Registration Payment

Online registration$250.00

This payment will cover your first month training

Quantity

Total $0.00

Credit Card

Cash App Pay

Mitch Fit Training