MEMBERSHIP

FORM

Full Name

Mobile

Gender

What is your primary goal with training?

What specific days of the week are you available?

What specific times of the day are you available?

What are your biggest challenges and obstacles?

Do you have a history of injuries/surgeries? If so, please list below.

What was the driving factor that led you to Kinetik?

What is your current weight?

How did you hear about us?