Client Registration
Full name
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First Name
Last Name
E-mail
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Phone Number
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Birth date
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Day
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Year
Date
Emergency Contact
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Name
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How did you hear about us?
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What are your pronouns?
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How would you describe your current level of physical activity?
*
Inactive (I may do a walk once a week)
Moderate (I get my heart rate up a few times a week)
Active (I aim for 80% MHR at least 4 times a week)
Health questionnaire
Please read the questions carefully and answer each one honestly: check YES or NO.
*
Rows
Yes
No
Has your doctor ever said that you have a heart condition and that you should only do physical activity recommended by a doctor?
Do you feel pain in your chest when you do physical activity?
Have you been hospitalised in the last 6 months?
Do you have bone or joint problem (for example, back, knee, or hip) that could be worsen by a change in your physical activity?
Do you know of any other reason why you should not do physical activity?
Do you get light headed or faint frequently?
If you ticked YES to any of the above, please outline details. You may be requested to get medical clearance prior to starting with Pride Fitness Group.
Do you have any of the following?
*
Rows
Yes
No
High Blood Pressure
Diabetes
Asthma
Long Covid
If you ticked YES to any of the above, please outline details. You may be requested to get medical clearance prior to starting with Pride Fitness Group.
Is there anything you feel we need to know about your health?
I UNDERSTAND THAT attending training sessions is my responsibility and failure to attend a session will result in the forfeiting of the value of that session. No additional or alternate session will be offered. I understand that training proceeds in all weather, except extreme conditions as specified by Pride Fitness Group.
*
YES
Payment Agreement: I hereby agree to pay the full amount for my initial five weeks of training with Pride Fitness Group prior to the commencement of the first session. I understand I will be emailed a link to make my initial payment. Future payments are to be made prior to the round starting and will be communicated and managed by Pride Fitness Group. There are no lock-in contracts or direct debits. Clients are only required to pay in advance for the training blocks they choose to participate in.
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YES
Initials
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My Products
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Boot Camp
$200.00 AUD
$
200.00
AUD
Small-group training, delivered as ten sessions over five weeks.
CBR Six Pack
$140.00 AUD
$
140.00
AUD
Attend six sessions over the five week round. You will be notified of the start of each round. All six sessions must be used within the five week term, unused sessions will be forfeited.
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