Participant Registration
Thanks for registering in venue for our upcoming Spring 6 Week Challenge. Please complete the form below to finalise your details and to receive your Welcome email.
Your Name
*
First Name
Last Name
Email
*
example@example.com
Mobile Number
*
Please enter a valid phone number.
Your date of birth
*
-
Day
-
Month
Year
Date
What is your goal for this challenge? (select all that apply)
*
Lose Weight
Get Fit
Muscle tone
Athletic Development
Injury Recovery
General Fitness
Complete Activities of Daily Living
Back
Next
Your PT preferences
Help us match you to the right Personal Trainer for your Challenge.
Preferred Trainer
*
Please Select
Male
Female
I don't mind
Have you done PT before?
*
Please Select
Yes
No
What are your preferred days to workout? (select all that apply)
*
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday
What is your preferred time to train?
*
Do you have any medical conditions?
*
Please Select
Yes
No
If yes, please outline what they are
Submit
Should be Empty: