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Email
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Your email
Name
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First and last name
Your answer
Instagram username
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Your answer
Email
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Your answer
Phone number
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Your answer
Which porogram(s) are you interested in?
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powerlifting
bodybuilding
conditioning
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Current weight
*
Your answer
What are some of your goals? (short and long term)
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Your answer
How many days a week would you like to train?
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Your answer
Do you have any current injuries? Have you received treatment for these injuries?
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Your answer
Do you have any medical issues or are you receiving medical treatment? If yes, please list and date?
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Your answer
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