Island Training Club - New Members Form
Welcome to ITC, we are excited to have you train with us!

Our commitment is to build a high quality and structured training program focused on safety, sustainable/realistic progression and performance.

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Please note that your responses are kept strictly confidential and only used by the ITC Coaches to better understand your background and needs.

Email: info.islandtrainingclub@gmail.com

Instagram: @islandtrainingclub (Link: Island Training Club)
Email *
Please input your full name. *
What is your current weight? *
What is your height? *
What is your age? *
What area do you live in? *
How many meals (including snacks) do you have per day? *
In terms of your daily nutrition, would you rate it as *
Bad
Great
How many glasses of water do you drink per day? *
How many hours of sleep per night? *
How many times do you currently exercise per week? *
If you do exercise regularly, what types of training? *
In terms of your exercise intensity, would you rate it as *
Low
High
What time do you normally get off work? *
Our typical training sessions happen on Wednesday's at 7:30pm, what other weeknights are you free to workout? *
Required
Would you be interested to join us for weekend activities such as hikes or other sporting events? *
What are your fitness goals? *
Required
If you go to the gym, where do you have a membership? If none, please state. *
Have you ever had a personal trainer before? *
Have you been diagnosed with any chronic illnesses/diseases (heart disease, diabetes, high blood pressure, high cholesterol, asthma, etc.)? If yes, please state. *
Do have feel chest pain when you are not performing physical activity? *
Do you lose your balance because of dizziness or do you ever lose consciousness? *
Have you undergone surgery WITHIN the last 12 months? If yes, please state. *
Have you undergone surgery BEYOND the last 12 months? If yes, please state. *
Do you currently have any injuries or body pains (ankles, knees, hip, back, shoulders, etc.)? If yes, please state. *
Are you currently on any prescribed medication? If yes, please state. *
Has your physician recently recommended that fitness training is not appropriate for you? *
Do you know of any other reason why you should not engage in physical activity? *
If you go to church, where is your home church? If none, please state. *
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