Zoom Bootcamp Class Registration Form
#TrainwithAndrea
Name
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First Name
Last Name
Email
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example@example.com
Address
Street Address
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Fitness Enrollment Information
Sessions Per week
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Once a week
2x a week
3x a week
Do you wish to have a personal coach for weekly accountability?
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Self Assessment Information
Have you done any workout programs before?
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Please specify which workout programs have you done?
When was the last time you have participated in physical fitness programs?
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1 Month Ago
2 Months Ago
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How do you rate yourself in terms of fitness?
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1
2
3
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1 is Worst, 10 is Best
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Medical Information
Are you experiencing any epileptic seizures?
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Do you have Diabetes?
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Have you had any operation in the last two years?
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Please specify, which operation have you had?
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Disclaimer
My Products
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1 class-45 min bootcamp session
$10.00
$
10.00
Thank you for joining the zoom Bootcamp Class!I am so excited to have you on board! Congratulations on making the decision to kickstart 2024 on a healthy note! Lets make this year your fittest and strongest yet!
1 week-three 45-minute bootcamp sessions
$30.00
$
30.00
Thank you for joining the zoom Bootcamp Class!I am so excited to have you on board! Congratulations on making the decision to kickstart 2024 on a healthy note! Lets make this year your fittest and strongest yet!
1 month-Twelve 45-minute bootcamp sessions
$120.00
$
120.00
Thank you for joining the zoom Bootcamp Class!I am so excited to have you on board! Congratulations on making the decision to kickstart 2024 on a healthy note! Lets make this year your fittest and strongest yet!
Subtotal
$0.00
$
0.00
Tax
$0.00
$
0.00
Total
$0.00
$
0.00
Payment Methods
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