SUSTAIN 3.0 - 6 Week Fitness Experience for Busy & Active Women
It's not just a class, it's a SUSTAINABLE wellness solution that provides structure, guidance, and results for real life!
SUSTAIN 3.0 Enrollment Form
Full Name
*
First Name
Last Name
Email Address
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Occupation (optional)
Emergency Contact Name
*
Emergency Contact Phone
*
Please enter a valid phone number.
Format: (000) 000-0000.
Preferred Group Training Time
*
Please Select
Morning (6:45am - 7:15am)
(7:30am - 8:00am)
Other:
What are your fitness goals?
What are your fitness challenges?
Do you have any health concerns or injuries we should know about or currently under the care of a physician for any condition that may effect exercise participation?
I understand this is a 6 week fitness program requiring consistency and participation to maximize results. I understand my results may vary and are not the same as other participants. Type "Yes".
What is your current fitness level?
Beginner
Intermediate
Advanced
Are you currently pregnant or postpartum?
Yes
No
Do you grant permission for photos/videos taken during classes to be used for promotional and marketing purposes by Optimal Fitness Empowerment LLC
Please Select
Yes
No
What made you join Sustain 3.0?
Participant Acknowledgment I understand that participation in physical fitness activities involves inherent risks, including but not limited to injury, muscle soreness, falls, or other physical complications.I certify that I am physically able to participate in fitness activities and voluntarily assume all risks associated with participation in the SUSTAIN 3.0 program.I release and hold harmless:Optimal Fitness Empowerment LLC,the program instructor(s),and the hosting fitness facility (Temple Gym and Fitness) from liability for injuries or damages arising from participation.I understand that I should consult a physician before beginning any exercise program if I have medical concerns.
Yes, I understand
Signature
Date
-
Month
-
Day
Year
Date
How did you hear about us?
Instagram
Facebook
Tik Tok
Friend Referral
Community Event
Other
Enrollment Registration Type
Early Bird Registration -$197-May 31st -June 6th
Standard Registration - $247-June 7th -June 14th
Register
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