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Last Name
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Phone
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Email
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Address
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City
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Zip / Postal code
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Birthday
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Referred by.
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I am filling out this form for-
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Myself
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If "Someone Else", please provide additional details.
How did you hear about Blaak Out Training?
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What is your height?
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What is your weight?
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What are your goals/reasons for considering personal training?
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Do you have past injuries, current pain or any limitations?
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What is your exercise and/ or sports history?
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Which services are you interested in?
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Private/ 1-on-1
Partner/Couples (2 people)
"Group Blaak" (3-5 people)
Bootcamp (5-10 people)
Sports Performance/Youth
Virtual
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Workout location
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In-Home Gym
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What equipment do you have available? (Please be detailed)
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Preferred days available to train. (Please be detailed)
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Preferred times to train. (Please be detailed)
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Do you have a preferred trainer?
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No- best fit please!
If "Yes", Please specify which trainer.
Additional information. (Life, family, situational ETC)
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