Train for Life (Ballwin) Registration Form
Train for Life (Ballwin) is a 12 week Special Olympics Missouri program that focuses on overall wellness. This will be ran out of D1 Training: 14015 Manchester Road, Ballwin. The first cycle of this program will start on March 11th-May 27th. There will be a once a week in person fitness component each Tuesday from 6:30-7:30 PM. Please see the weekly agenda below: (this will also be sent to you in calendar format via email after filling out this registration form) : Fitness Workouts•1 x 60 Minute workout in-person with the Train 4 Life™ Coach•2 x 30 Minute at-home workout provided to athletes• -SIGN UP NOW AS SPOTS WILL BE LIMITED TO 15 Athletes. This is only open to St. Louis athletes and this is a FREE program! No cost of the athlete.
Athlete Details:
Full Name
*
First Name
Last Name
Athlete Shirt Size
Please Select
Small
Medium
Large
2XL
3XL
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
*
E-mail
example@example.com
Emergency Contact Information: (Guardian/Parent/Relative etc)
First Name
Last Name
Phone Number
Please enter a valid phone number.
Fitness Goals:
Please Select
General Health
Weight Loss
Athletic Perfromance
Competition
Community
Current Fitness Level:
Please Select
Beginner (Workout 0-1 time per week)
Moderate (Workout 2-3 times per week)
Advanced (Workout 3-5 times per week)
Injuries/Medical Information Fitness Professional Should be aware of:
"I acknowledge that participating in fitness activities involves inherent risks, including the potential for injury. I understand that Special Olympics Missouri & D1 Training are not liable for any injuries or damages that may occur as a result of my participation in workouts or related activities. However, I also recognize that the professionals at D1 Facility will do all they can to ensure a safe environment while implementing training."
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I understand.
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