CKO Kickboxing Somerset NJ
CKO Welcome Form!
Sign in to Google to save your progress. Learn more
Date: *
MM
/
DD
/
YYYY
Name: *
Phone Number: *
Email: *
Address: *
State: *
City: *
Zip: *
How Did You Hear About Us?
Clear selection
Best Times For You To Attend Classes: *
Any Medical Conditions or Limitations: *
Any Medical Conditions or Limitations: Please Specify
Have You Received Medical Clearance From Your Physician? *
Do You Currently Have a Gym Membership? *
If, Yes How Many Days Per Week Do You Attend?
Are You Looking to Lose Weight?
Clear selection
What Is Your Main Fitness Objective?
I accept full responsibility for my use of any apparatus, appliances, facility privilege, or services whatsoever owned and operated by this club at my own risk and shall hold this club, its shareholders, directors, officers, employees, representatives, and agents harmless for any and all loss, claim, injury or liability sustained by me resulting thereof. In addition, I acknowledge that I have received an orientation prior to taking class. *
MM
/
DD
/
YYYY
Signature: *
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy
Google Forms