8-Week "Life-Changer" Challenge Feb 2022

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If you would like to take part in our 8-Week "Life-Changer" Health & Fitness Challenge please fill out the following form...

Challenge start date 28th February.

Cost is: Members = $280 ($35 per week) / Non-members = $400 ($50 per week which includes 8 week membership at local fitness centre)

Email *

Available at the four community Fitness Centres managed by...

Your Name *

What Fitness Centre are you a member of or will join for the Challenge? *

Rangiora Fitness Centre

Stadium Fitness Centre

Kaiapoi Fitness Centre

Amberley Fitness Centre

Oxford Fitness Centre

Multi Gym Member

Phone Number *

Best method to share Challenge information with you? *

To get the best from this Challenge we recommend you have a Facebook profile and join our private Facebook Group. However if this doesn't suit you please indicate which will be the best method for us to send you Challenge Workouts, information etc and for you to reply to us.

Facebook (recommended)

Printed documents

Website

Other:

Do you currently have a MyZone Belt? *

To use a MyZone belt you will need to have the MyZone App on your smartphone

Yes

No - but have a Smartphone so can use one

No - and don't have a Smartphone so won't be able to use one

Group Session Availability

Tell us when you are available for a team workout session with your Trainer and other challenge participants

Early morning (before 7am)

Morning (9am - midday)

Early afternoon (midday to 3pm)

Evening (after 6pm)

Preferred time and day for your FIT 3D Scans *

We are going to try to get all the initial FIT 3D scans completed at Stadium Fitness Centre on the weekend before the 8 Week Challenge starts. Please pick your preferred day and we'll then contact you to discuss time options. If none of the specified days is suitable for you please tick other and let us know your preferred day and time.

Friday 25th February 4 - 7pm

Saturday 26th February 7:30am - 1pm

Sunday 27th February 8am - 12pm

Other:

Required

What are the main goals you'd like the challenge to help you achieve? *

Choose as many as you wish. This will help us assess that you are getting what you want from the Challenge to ensure it is the best it can be for all participants

Improved fitness

Body fat reduction

Improved consistency of training

increase muscle and/or tone

Form some healthy habits

Meet new people

Try new things and learn some new exercise options

Feel better and more confident about yourself

Accountability to regular training

Other:

Required

Do you have any medical conditions we might need to be aware of? If so please list them below.

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