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Flourish Resilient Strength Training
Please complete this questionnaire with as much detail as possible. My goal is to provide a safe and well designed workout environment for you during our time together and this information helps me to do so.
Event Address: 2606 Tall Meadows Dr Midlothian 76065
Contact me at (951)-230-1370 or at Flourish.Fitness.by.Rebecca@gmail.com
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Address
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Do you have children ? If so how many pregnancies? Vaginal or C-section?
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Please list ANY injuries - BOTH current & past
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Please list any medications you are currently taking
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Have you gone through mesopause? Are you in perimenopause?
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I give my permission to have my picture used on the Flourish Fitness Instagram page
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Upon completing this document you will received an email with your invoice, once you make payment your spot will be saved . Cost per 4 week Bootcamp is $55. Classes missed will not be credited or carried over.
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