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My Personal Information |
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| Home #: |
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| Email: |
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| Gender: |
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| Birthday: |
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My Training Profile |
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| What is your top Health and Fitness Goal? |
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| If you answered Yes above, please describe your injury: |
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| Additional Nutrition, Health and Fitness Goals: |
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My Preferences |
| How often would you like to meet with your Trainer? |
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| When would you like to start Fitness Training? |
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| What times are best for you to Fitness Train? * |
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| Where would you like to Fitness Train? |
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| Please select any type of equipment that you currently own: |
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| What is your expected time frame for reaching your goal? |
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| When is the best time to contact you? |
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If you are not local to the Toronto area, would you be interested in speaking with a trainer regarding
Phone Coaching or Online Training?
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| Additional Questions or Comments: |
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Terms & Conditions |
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DISCLAIMER: Before you start or implement the advice or guidance in regards to an exercise, diet, nutrition or any other form of fitness training
and/or meal planning program, YOU NEED TO SEEK the advice and approval of your own personal doctor, nutritionist, registered dietician or a qualified
health care professional.
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We want you to know that your personal privacy is important to us; as such, your contact information WILL NOT be shared with any third parties.
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| How did you hear about Health Fitness Toronto? |
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* NOTE: Please provide a valid Email Address that is preferably your personal email and not through a free provider such as Hotmail, Yahoo, etc. An email confirming submission of this form will be sent to your mailbox. If you do not receive an email within 1 hour, please verify your Bulk or Spam Folder for incorrect delivery or try another email address in case your email provider incorrectly pre-filtered our email.
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