Port Alfred / Grahamstown Fit Challenge Pre Registration Form

Fit Club24 Bootcamp Grahamstown/ Port Alfred

Kindly complete this Pre-Registration Form in order to secure your spot in the next Challenge
Remember to like our Page!!

https://www.facebook.com/wellnesscoachpagtown/

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The next Challenge is starting soon
**Your Coaches**

Coach Vernon (Port ALfred)
Challenge sessions are on

Port Alfred: Mondays 5:30pm - 6:15 pm and Wednesday evening from 6:15 pm - 7pm

There will be a prize at the end of the challenge for:
1. The person who improved the most in the Fit Test.
2. The person who dropped the most body Fat .
3. You will get a participation certificate at the end of the challenge.
Orientation will take place at Port Alfred High school hall Port ALfred on the first Monday of Fitcamp.

Port Alfred fit club takes place at Port Alfred High School Hall.

On the first Monday of the challnge we will do our COMPULSORY Fit Test and Stats Talk, to help you monitor your progress and understand what the scan readings mean for you. The Fit Test is repeated on the last day of the Challenge.

PLEASE NOTE: MISSING ORIENTATION OR EITHER FIT TEST without a valid reason WILL DISQUALIFY YOU. As a participant in this challenge, you must commit yourself to a minimum of 2 sessions a week! Roll call is taken daily, and missing more than 2 sessions in a row without valid excuse will result in you losing your spot.

We have special events now and then that we encourage you to attend as these can give you valuable information to help you on your health journey.

We try as far as possible to change up each session so NO boring same-old-same-old!

Everyone is welcome, so invite your bestie, your bro, neighbours, family or work colleagues...but they must register and attend Orientation to take part. So once you registered please feel free to send them the link so that they can also register.
Name

First NameLast Name
Date of Birth

MonthDayYear
Contact Number

Area CodePhone Number
Whatsapp Number if different from the contact number

Area CodePhone Number
E-mail
Emergency contact Number

Area CodePhone Number
Next of Kin

First NameLast Name
Where do you live (Area)
Gender

MaleFemale
Where did you hear about the 4 Week Fit Challenge

FacebookFlyerFamily or friends referred meOther
If a friend or family what is their name
eg. Jane Seymour
Have you attended a Fit Challenge before?

YesNo
If Yes, Who was your Coach?
In order for us to find out what your Goals are, please specify below what you are expecting from this challenge, and why?
How fit to do you think you are?

Couch Potato...Standing up is optionalI'm moderately fit...I thinkTotal fitness buff! Where are my dumbbells?
I want to improve in the following areas

I'd like to lose overall weightI need to lose body fat to show off my musclesI want to build lean muscleI just want to get fitI'd like to lose weight, lose fat, gain muscle and get fit
Why is this goal so important to you? Be Specific!
Do you have any Medical conditions that we need to be aware of

YesNo
If Yes, Please specify:
Disclaimer:

It is advised that you consult your doctor before participating in any strenuous exercise

Total 24Fit Club Port ALfred/ Grahamstown will not be liable for any injuries that may be incurred during the exercise sessions
Are you currently using any nutritional products or programme that you aatend to use in conjunction with this 4-week Challenge?*

NoneUSNEVOXWeigh LessHerbalifeOther
If Other, Please specify
Please list 3 friends or family who you think would benefit from joining you for this 21 Day Transformation Challenge.

Please list names and contact number

Eg. Jane Seymour 082 1234567
Friend 1

First NameLast Name
Contact Number

Area CodePhone Number
Friend 2

First NameLast Name
Contact Number

Area CodePhone Number
Friend 3

First NameLast Name
Contact Number

Area CodePhone Number
Now that the hard work is done

Click below to Register
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Fit Club24 Bootcamp Grahamstown/ Port Alfred