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Student Rate Drop In
$
12
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SKU:
10002
Category:
Memberships
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FIT Happens Membership Passes
From:
$
70
/ month
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Lifestyle Waiver
Name
Address
Email
Phone
How important is it for you to exercise/be in shape on a scale from 1-5 with 5 being the most important.
1
2
3
4
5
How fit would you rate yourself on a scale from 1-5 with 5 being the most important.
1
2
3
4
5
Do you currently (or have you had in the past year) have any injuries Fit Happens should know about?
Yes
No
If yes, please explain
How many days per week are you willing to set aside for exercise?
1-2 days
3-4 days
5-7 days
Are you open to getting homework from Fit Happens on days when you are not at boot camp?
Yes
No
How active is your job on a scale of 1-5?
1
2
3
4
5
How would you rate your stress level on a scale from 1-5?
1
2
3
4
5
How many hours of sleep do you get each night?
Less than 4
Between 4 and 7
More than 7
What physical activities do you currently engage in?
What types of exercise do you enjoy doing?
What are your fitness goals and when would you like to attain these goals?
Consent
By signing below and accepting this agreement, you abide by our terms and conditions and our privacy policy when it comes to storing your information securely.
Signature
❌
Send
Student Participation Waiver
Student Name
Grade
Guardian Name
Email
Phone
Does your child have any health concerns we should be aware of?
Yes
No
Explain
Emergency Contact
Emergency Contact Phone
By signing below and accepting this agreement, you abide by our terms and conditions and our privacy policy when it comes to storing your information securely.
Signature
❌
Send
Par Q Waiver
Name
Address
Email
Phone
Has your doctor ever said that you have a heart condition and that you should only do physical activity recommended by a doctor?
Yes
No
Do you feel pain in your chest when you do physical activity?
Yes
No
In the past month, have you had chest pain when you were not doing physical activity?
Yes
No
Do you lose your balance because of dizziness or do you ever lose consciousness?
Yes
No
Do you have a bone or joint problem (for example, back, knee or hip) that could be made worse by a change in your physical activity?
Yes
No
Is your doctor currently prescribing drugs (for example, water pills) for your blood pressure or heart condition?
Yes
No
Do you know of any other reason why you should not do physical activity?
Yes
No
Explain
Consent
By signing below and accepting this agreement, you abide by our terms and conditions and our privacy policy when it comes to storing your information securely.
Signature
❌
Send
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