CLASS SIGN UP FORM

Before completing the class sign-up form, please download and sign our Informed Consent form, to upload to our sign-up form!.

Name

First Name

Last Name

Age

Phone

(###)

###

####

Name of Class or Program:

MEDICAL HISTORY

Do you have any medical conditions?

Have you ever had any injuries or surgeries that could affect your exercise participation?

Are you currently taking any medications that may impact your workout?

Do you experience any dizziness or fainting spells?

FITNESS LEVEL

How often do you currently exercise per week?

What types of exercise do you typically do?

Describe your current fitness level

EXERCISE GOALS

What are your primary fitness goals for participating in this class?

Do you have any specific areas you want to focus on improving?

CURRENT LIMITATIONS OR INJURIES:

Do you have any current injuries or limitations that may affect your participation in the class?

Are there any exercises you should avoid or need modifications for?

IMPORTANT CONSIDERATIONS:

Do you have any questions for the instructor before starting the class?