AFFINITI FITNESS - GOAL SPECIFIC TRAINING

Register for the 2008 New Year Resolution Afiniti Bootcamp

Download the Bootcamp Registration Form or register online now

Fields marked with * are required.

First Name: * Last Name: *
Address: *
Suburb: * Postcode: *
Home Ph: * Work Ph: * Mobile: *
Email: *
DOB: * Gender:
Occupation:
Keep me updated and motivated: SMS: Email: Mail:
How did you hear about Affiniti Fitness?
Number of sessions / week: Payment Method:

Selected sessions / week (you may select multiple sessions by holding down CTRL and clicking):
Monday
City Beach		 Tuesday
Kings Park		 Wednesday
City Beach		 Thursday
Kings Park		 Friday
City Beach

Are you currently exercising? Describe:
 
Describe how you feel about your current health and fitness:
 
What is your No# 1 health and fitness goal?
 
What inspires you to achieve your goal?
 
Your diet consists mostly of:
 
You eat unhealthy when:
 
How do you de-stress or relax?
 
Have you ever had? Are you currently?
 
Other/s
 
Medication History:
 
I declare that I am not aware of any medical or physical condition, other than those specified which would lead me to believe that there is a risk to my health by participating in any of the services offered by Affiniti Fitness.

We understand the importance of maintaining the privacy of your personal information. We will keep all your details confidential and make reasonable efforts to keep any information about you secure. We ensure no unauthorised use, modification, reproduction or disclosure of your information with exception: To the extent specifically requested by law.







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