SUMMIT TRAINING LLC Client Application

SUMMIT TRAINING LLC Client Application

Please fill out form below if you are seriously interested in the coaches corner
Client Name

First NameLast Name
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Email
example@example.com
Birth Date

MonthDayYear
Date
Gender

malefemale
Height
Coaching Option (Description On Site) (under 18, Parent/Legal Guardian must fill out)
I Am Financially Capable To Commit To Summit Training LLC Coaching

YES
Please state if you have current/previous health diseases/issues.
Please state whether you take any medication.

Health & Lifestyle

Rows	Yes	No
Do you smoke?
Have you had any surgery since one year?
Do you drink alcohol?
Are you using any additional vitamin or supplements?
Are you tracking your daily food intake?
Have you done sports professionally before?
Do you feel pain while doing sports/exercise?

What are your goals for training?

HypertrophyPowerliftingLosing body fatIncreasing the motivationTraining for an event/specific sportsOther
Date

MonthDayYear
Date
Client Signature
Should be Empty: