New Customer Registration Form

Berglove Fitness

berglovefitness@gmail.com

berglovefitness.com

(763) 350-1945
GOAL SETTING AND EXERCISE INFORMATION
Full Name*

First NameLast Name
Address

Street Address

Street Address Line 2

CityState

Zip Code
Phone Number*
E-mail*
example@example.com
How did you hear about us?*
Please Specify
List 5 exercises you REALLY enjoy doing:
List up to 5 exercises you DO NOT enjoy doing:
What types of cardio do you prefer to do?

WalkingStair ClimberJoggingRepeated SprintsBikingJumping RopeSports
What day would you like to start?

MonthDayYear
Date
What are your main goals for starting this?

Feel StrongerLose WeightBecome HealthierMarathon TrainingPut on MuscleFeel BetterImprove MobilityGet Shredded
How many days a week are you able to get to the gym?
What type of gym equipment do you have available?*

Full GymDBs OnlyDBs & Exercise BandsSome DBs & Multi-use MachineApartment GymNothing
What body part is the highest priority

BicepsTricepsShouldersChestBackAbsQuadsHamstringsGlutes (butt)Calves
Set 1 MAIN GOAL as we begin our journey*
What day would you like to complete this goal by?

MonthDayYear
Date
How badly do you want to achieve this goal?
Which Package are you looking to try?
Should be Empty: