LET’S GO!

INTAKE FORM

So we can do our best work together, get started by completing this intake form. That way I will better undertsand your goals, needs and training background. Appreciate your time and detail.

Name

First Name

Last Name

Phone

(###)

###

####

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

GOALS

What are you primarily looking to acheive?

Training History

The more info the better. Past lifts, training styles, previous bests.

Injuries, illness, limitations.

What might affect our training?

Barbell & Weights Proficient

Yes 1+ years worth

No less than a year

Beginner with weights

Training Frequency (Current)

How many times a week do you train?

1-2

2-4

4-6

Reason for enquiry

What are you interested in?

LET’S GO!

INTAKE FORM

RISE

Contact