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StrengthCity New Member Intake Form - TRIAL
Please enter all your details so we can set you up in our member software Glofox. This will allow you to book into your sessions.
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* Indicates required question
Email
*
Your email
First Name
*
Your answer
Last Name
*
Your answer
Date of Birth
*
MM
/
DD
/
YYYY
Email
*
Your answer
Phone Number
*
Your answer
Address
*
Your answer
Do you have any current and/or previous injuries / limitations? And if so, what are they?
*
Your answer
Start Date / First Deduction Date (always a Monday)
*
MM
/
DD
/
YYYY
Do you have any health conditions? (ie asthma). If so please explain.
*
Your answer
Number 1 goal?
*
Your answer
Do you have a family member that attends StrengthCity?
*
Yes
No
If so what is their name?
*
Your answer
Is there anything else that you would like us to know?
*
Your answer
How did you hear about StrengthCity?
*
Your answer
Additional Info
JOIN STRENGTHCITY VIP GROUP HERE -
https://www.facebook.com/groups/strengthcity/
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