Member Registration Form
Join our community and start your fitness journey today! Please fill out the form to register.
Personal Information
Full Name
*
First Name
Last Name
Email Address
*
example@example.com
Phone Number
Please enter a valid phone number.
Date of Birth
*
/
Month
/
Day
Year
Date
Gender
*
Male
Female
Current Weight
*
Height
*
Goal Weight
*
Your Goals
1. What is your primary fitness goal? (Please check all that apply)
*
Weight Loss
Build Muscle/ Strength
Improve Flexibility
Improve General Health
Sports - Specific Training
Injury Recovery/ prevention
Other
If Other, Explain:
2. How active are you throughout the week?
*
Sedentary- I do very little to no exercise throughout the week.
Lightly Active- I engage in light exercise or physical activity (walking, light stretching, etc.) 1-3 days per week
Moderately Active- I participate in moderate exercise (gym workouts, running, cycling, etc.) 3-5 days per week.
Very Active- I engage in intense exercise or physical activity (high-intensity workouts, sports, etc.) 5 or more days per week.
3. How did you find US?
*
Please Select
Family / Friend
Instagram
Facebook
Website
4. Who referred you?
Optional
Medical Information
Do you have any medical conditions or allergies?
*
Yes
No
If yes, please provide details
Preferred Start Date
*
/
Month
/
Day
Year
Date
Submit
Should be Empty: