Fitness Assessment
This survey helps you and I understand what time & workouts best suit your goals in this fitness lifestyle. 🚨All payments are (Non refundable)🚫 (No makeup dates)
Name
*
First Name
Last Name
Parent (If student is under 18)
*
First Name
Last Name
Email or (parent email)
*
example@example.com
Phone Number or (parent phone #)
-
Area Code
Phone Number
Best time to consult ?
*
Thursday (4pm) via phone
SAT (4pm) via phone
Fitness level ?
*
Beginner (low impact)
Intermediate
Advance
What are your fitness goals?
*
Weight loss
Muscle building
Toning
Accountability
Sports & Skill Training
What time of day?
*
Mornings (currently unavailable)
Afternoons
SAT ONLY
Describe how you would want to feel in our GYM environment?
*
What work days and times are best for you?
*
$230 (Monthly) / (1 on 1 Personal Training) (time & date discussed during consultation)
$165 (Monthly) (3days weekly) M,W & Thurs. 5:30-6:30pm or 7:30-8:30pm
($15) 20 min Consultation (This payment contributes to your class preference if you commit to signing up during your call)
$120 (Age 10-17 & College Level) Sports Training Agility & Speed Training (SATURDAY) 11am -12pm
$15 (EVNT) / Block & Bandz SATURDAYS 10am -11am
FREE (TUESDAYS 6:00 P.M @ URBAN ENCLAVE
Please document any surgeries, injuries, and incidents below that have happened within the last 4 years. (This allows me to know your limits and could prevent injuries or any future incidents) Just to make sure ? HAVE YOU had any recent surgeries or injuries? Do you or have you been diagnosed with any mental health or physical disorders that limit your ability to workout with weight or equipment?
*
0/2000
Waiver ➡️ “ I have read and understand this section, and if I am a minor I have also discussed it with a parent/guardian. I understand that by attending all events by ADITUP FITNESS, I (or my parent/guardian) assume full and complete risk and responsibility for any injuries or accidents that may occur when I am on the premises or participating in the event. I hereby release “ADITUP FITNESS” (Terry Lewis) and all sponsors from any claims of injury or damages. I understand that I should always consult with a qualified professional when making any decisions regarding my health. Lastly, we understand that by attending this event, we have granted implied consent to be interviewed, photographed or recorded before, during or after the program. Those statements, pictures, and recordings may be published.”
*
Yes, I have read and agree
🚨 Starting January 2024 payments are due by the 7th of each month. If payments in the future are not made by the 7th you are permitted to enter the gym until payment is made & will be asked to exit the facility until payment is made. After making a late payment that does not reset your start date at anytime… Example: if you wait until the 23rd of a month to make a payment and that month ends on the 30th you have now paid for that month and still will have to pay for the next month before the 7th. As I am now renting out a time frame at the facility I have to uphold a timely payment to the owner of the gym. Thank You for your understanding.
*
Yes, I have read and agree
Submit
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