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Ultimate Body Transformation Registration
Please complete this form and then download the UBT App > https://getstarted.ultimatebody.co.nz/
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* Indicates required question
Email
*
Your email
First Name
*
Your answer
Last Name
*
Your answer
Gender
*
Female
Male
Prefer not to say
Other:
Phone Number
*
Your answer
Occupation
*
Your answer
Have you completed the UBT 10 Week Challenge before?
*
Yes
No
How did you hear about us?
*
Your answer
Preferred Start Date
*
Your answer
UBT App Options
*
UBT App - following the App by yourself
UBT App + UBT Trainer - following the App with a UBT Trainer
Other:
Gym Options with UBT Trainer:
*
Cluster Fitness Gold Coast
Instinct Fitness Wellington
Other:
What are your current activity levels?
*
No Exercise
Low Intensity Exercise
Medium Intensity Exercise
High Intensity Exercise
Will you be completing the challenge with any friends, family or coworkers?
*
Yes
Yes and I'd like to train with them
No
Required
If you answered yes to the above question, please specify who
Your answer
Do you have any injuries or medical concerns we should be aware of?
*
Yes
No
If you answered yes to the above question, please specify
Your answer
Have you recently travelled or been exposed to anybody that may have increased your risk of contracting Covid-19?
*
Yes
No
Required
If you answered yes to the above please give further details here
Your answer
A copy of your responses will be emailed to the address you provided.
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