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CrossFit 7-Day Trial
Membership Terms
Contract Length: 1 week(s)
Attendance: Unlimited classes
Begin Date: Sep 27, 2022
End Date: Oct 4, 2022
Payment Terms
Price: $7.00
Due Now
First Installment
$7.00
My Personal Info
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First Name
Last Name
Date of Birth
Email Address
Mobile Phone
Home Address
Do you smoke?
Yes
No
Do you drink alcohol?
Yes
No
Do you take prescription medication?
Yes
No
If so please list.
Are you currently exercising or playing sports?
No
Yes, 1-3 times per week
Yes, 4-5 times per week
Yes, 6+ times per week
If yes, how often?
Do you have any of the following?(click empty box)
None
Back Pain
Knee Pain
Shoulder Pain
Bone or Joint Problems
Previous Injuries or Surgeries
High Blood Pressure
Asthma
Diabetes
Heart Condition
Has you doctor said to avoid physical activity?
Yes
No
Please list any additional info we should know
Emergency Contact
Emergency Contact Phone Number
Gender
Male
Female
Not Specified
