Intake form

Name *

Email address *

What is your age group?

What is your gender?

What type of membership are you interested in?

Please select at least one option.

Individual

Student

Couple

Family

Personal Training

What are your fitness goals?

Please select at least one option.

Weight Loss

Muscle Gain

Increased Stamina

Flexibility

Overall Health

How did you hear about us?

Do you have any medical conditions we should be aware of?

Additional questions or comments

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Faith Fitness Center