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Turning Point Weight Loss Program Application
Dates: Sunday, March 10th to Sunday, June 9th
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Email
*
Your email
Name:
*
Your answer
Age:
*
Your answer
Phone Number:
*
Your answer
Reasons for wanting to join. Check all that apply.
*
Reduce aches and pains
Improve quality of life
Prepare for surgery
Reduce need for medication
Postpartum Recovery
Overcoming a past injury or condition
Doctor recommended
Other
Required
Briefly describe your selections from the question above:
*
Your answer
What are your weight loss goals?
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Lose 20 - 40 lbs
Lose 40 - 60 lbs
Lose 60 + lbs
Participants must be medically cleared for exercise. List any recent injuries, surgeries, or existing health conditions (asthma, arthritis, low back pain, strained muscles, weak joints)
Your answer
What is your availability to meet with a certified trainer. We understand your schedule may change week to week. You may be traveling, kids sports etc. In general when can you meet?
Monday between 12 - 3 pm
Monday between 6:30 - 7:30 pm
Tuesday between 9 -12 am
Thursday between 11 - 1pm
By appointment
Small group training sessions included with this program take place on Sunday evenings at 5PM and Wednesday evenings at 6:15PM. We have found that participants who can attend the majority of these workouts through this twelve week program have been the most successful. Do these days and times typically work for you to meet?
Yes
Some/Maybe
No
Other
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