Welcome to KYV Fitness Virtual or In-Person Small Group Training or Bootcamp Registration!
I hope you are ready to have fun, sweat and workout in a group setting!! Starting September 29th (Every Monday & Thursday) at 615 pm! After you have completed registration you will receive an email within 48 hours with more details of the group training or bootcamp and location (if in person) or the link to the class (if virtual). See you there....Let's Get it!
BootCamp Registration Form
Name
*
First Name
Last Name
Email
*
example@example.com
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
*
-
Area Code
Phone Number
Date of Birth
*
-
Month
-
Day
Year
Date
Gender
Please Select
Female
Male
Are you currently pregnant?
*
Please Select
YES
NO
Height
*
Weight
*
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Fitness Enrollment Information
Program
*
Please Select
In-person Bootcamp
In-person Small Group
Do you wish to discuss having a personal coach outside of the small group classes/bootcamps?
*
Please Select
Yes
No
Maybe
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Next
Self Assessment Information
Have you done any workout programs before?
*
Yes
No
Please specify which workout programs have you done?
*
When was the last time you have participated in physical fitness programs?
*
1 Month Ago
2 Months Ago
N/A
Other
Describe Your Daily Acivities
*
Sedentary: little to no exercise
Lightly Active (light exercise 1-3 days/week)
Moderately Active (moderate exercises 3-5 days/week)
Extremely Active (hard exercise & work in a physical job)
Other
How do you rate yourself in terms of fitness?
*
1
2
3
4
5
6
7
8
9
10
Worst
Best
1 is Worst, 10 is Best
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Medical Information
Any allergic reaction to medicines (e.g. aspirin, penicillin, etc.)?
*
Please provide and explain.
Are you currently taking any prescribed medications?
*
Do you have any medical conditions such as heart disease, hypertension, high cholesterol or diabetes (including chronic pain)?
*
Please provide the details and frequency of dosages. Enter N/A if none
Are you experiencing any epileptic seizures?
*
Please Select
Yes
No
Have you had any operation in the last two years?
*
Please Select
Yes
No
If "yes", Please specify, which operation you have had?
Do you have any dietary restrictions or on a special eating plan? If so, please explain.
*
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Agreement, Disclaimer, Release &Waiver of Liability
PLEASE READ THIS DISCLAIMER CAREFULLY BEFORE PARTICIPATING INANY of Know Your Value Fitness LLC., CLASSES OR ACTIVITYIES.
Signature
*
Which day/s are you registering for?
*
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( X )
Jan.5th -Small Group Session (Virtual)
$
15.00
Jan.6th-Small Group Session (In Person)
$
25.00
Jan. 8th--Small Group Session (Virtual)
$
15.00
Jan. 9th-Small Group Session ( In Person)
$
25.00
Jan. 12th-Small Group Session (Virtual)
$
15.00
Jan.13th-Small Group Session ( In-person)
$
25.00
Jan.15th-Small Group Session (Virtual)
$
15.00
Jan.16th-Small Group Session ( In- Person)
$
25.00
Jan. 19th Small Group Session (Virtual)
$
15.00
Jan. 22nd-Small Group Session (Virtual)
$
15.00
Jan. 20th- Small Group Session (In-Person)
$
25.00
Jan. 23rd- Small Group Session (In-Person)
$
25.00
Jan. 26th-Small Group Session (Virtual)
$
15.00
Jan. 27th-Small Group Session (In-Person)
$
25.00
Jan. 29th- Small Group Session- (Virtual)
$
15.00
Jan. 30th-Small Group Session (In-Person)
$
25.00
Small Group Pass-Virtual
$
75.00
Includes all 8 sessions $50 Discount Applied (Reg. price $120)
Small Group Pass-In-Person
$
150.00
Includes all 8 Sessions $50 discount applied. (Reg. price $200)
Total
$
0.00
Payment Methods
Credit Card
Apple Pay
After submitting the form, you will be redirected to Apple Pay to complete the payment.
Google Pay
After submitting the form, you will be redirected to Google Pay to complete the payment.
Cash App Pay
After submitting the form, you will be redirected to Cash App Pay to complete the payment.
Submit
Submit
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